$25 THIS INCLUDES POSTAGE

Make all checks payable to Delta Xi Chapter.

Please allow three to four weeks for delivery.
(International orders are subject to an
additional shipping charge.)

Order Now
NAME: __________________________________________________
(PLEASE PRINT)

CHAPTER NAME ________________________

STATE NAME:

Circle One:

Magnet on back OR Pin on back

Ribbon Color: BLACK OR RED

Description – Each badge is
(3½”x1 ¾ “), gold with black Length of badge 6” 8” 10”
SHIPPING ADDRESS:
font and a grosgrain ribbon (2
STREET: _________________________________________________
¼ “x 6 “). The ribbon length
CITY: ____________________________________________________
can be up to 10” long. The
STATE_________________ ZIP
badge comes with a magnet on
the back to easily attach to PHONE: _____________________________________
clothing. (The magnet EMAIL : ____________________________________
indicates that it is not to be
used for individuals with MAIL PAYMENT TO: CATHERINE SANDERS
29150 LAKE FOREST BLVD. APT. 409
pacemakers.) If you desire a
DAPHNE, AL 36526
pin instead, please indicate it
(251) 605-0718 cjsteach@gmail.com
on the order form.