NEW Chapter Supply and Lanyard Order Form

Use this form to order color lanyards, chapter supplies, and replacement name badges.

Total$0.00

 Date * MM/ DD/ YYYY

 Shipping Information

 Name * First Last

 Chapter *

 Email *
 Where would you like the supplies to be shipped? *
Street Address Address Line 2 City State /
Province / Region Postal / Zip Code                                                     
                                                            
                                                            
                                                            
                                             
Country

 Chapter Supplies
Select how many of each supply you need. We will only send up to the maximum amount in each category.

 Notable Networker Certificates

0
  
 Visitor Info Sheets (25 max.)
0
     
 Stick-on Name Tags (25 max.)
0
  

 BNI Passports ($5 each)

Passports are now available online in BNI Business Builder.
Please specify how many EXTRA Passports you need beyond those included in the new
member packs.
 Select Number of Passports:
0
           

 Lanyards ($3 each)

Please select the number of lanyards you would like from each category.
 Select the amount of Blue Lanyards (Events)
0
           
 Select the amount of Light Blue Lanyards (Home Services)
0
           
 Select the amount of Yellow Lanyards (Health & Wellness)
0
           
 Select the amount of Green Lanyards (Financial Services)
0
           
 Select the amount of Red Lanyards (Business Services)
0
           

 Magnetic Name Badges ($5 each)

Please select from the drop-down menu, how many name badges you need. In the Comments Section, provide
names and company for each name badge.

 Select the number of badges needed:

           

 Comments Section
Enter name/company for name badges here. Add any other comments as well:

 Please Read
You will be taken to a secure payment page after submitting this form. Please enter your
credit card information on that page to complete your purchase. SUPPLIES WILL NOT BE
SENT IF PAYMENT IS NOT SUBMITTED!

Thank you!
Submit
