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New Badge Form

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New CHEAR Badge Form

Please complete the form below if you need to order a new badge. 
1. *

First and last name of person that needs a new badge made. 
2. *

Email Address
3. *

What type of badge do you need to order?
4. *

Why do you need a new badge?
Badge was Lost Badge is Broken
5. *

How would you like to pay?
Cash, and I will pay next class date. Zelle: [email protected]
Have Dawn charge the card I have on file.