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click for Member Application

NAIW of RI Name Badge Order Form

Email Debbie Crowell at DCrowell@oceanpointins.com

Name:________________________________ Phone No:_______________

(Please check here if you are a New Member and this is your first name badge_______)

Name as you want it to appear:

_____________________________________________________________

Designations:

_____________________________________________________________


Select regular or magnetized pin

_____ Regular $7.00 (free for New Members)

______Magnet $9.00 includes regular pin fastener

$2.00 (charge for New Members)

(Money will be collected when the pin is delivered to you)