Health Services Group Factory Personalized Badge Order Form

* =Required Information
Date of Request: 5/4/2024
Person Ordering:*
Facility Name:*
Phone Number:*
E-mail Address: *
Facility Code: *
Shipping Address P.O. Boxes are not acceptable.
Attention:*
Address 1:*
Address 2:
City:*
State:*
Zip:*
Shipping:
 
Pin Back Name Badge

USPS

 UPS
1 Piece $8.51 $17.21
2-4 Pieces $6.96 $10.12
5-10 Pieces $6.15 $7.02
10+ Pieces $5.68 $5.67
     
Magnet Back Name Badge

USPS

 UPS
1 Piece $9.46 $18.16
2-4 Pieces $7.91 $11.07
5-10 Pieces $7.10 $7.97
10+ Pieces $6.62 $6.62
Pricing includes shipping
Please allow up to 3 weeks for delivery
PLEASE NOTE: Tracking numbers are not available for USPS. If a package is lost, a no-charge replacement order cannot be issued and badges will need to be ordered again.
Name Badges

  • 1 OR 2 Lines of personalization - First Name / Title

    • Health Services Group Personalized Badge
    Badge 1
    Name:
    Title:
    Title:
    Pin Badge Quantity:
    Mag Badge Quantity:
    Badge 2
    Name:
    Title:
    Title:
    Pin Badge Quantity:
    Mag Badge Quantity:
    Badge 3
    Name:
    Title:
    Title:
    Pin Badge Quantity:
    Mag Badge Quantity:
    Click Here to Add More Names
    Special Instructions:

    MISSING INFORMATION:
    We will make one attempt to contact you. Orders held over 60 days with no response will be destroyed. Resubmit at that time.
    Due to Supreme Court decision in June 2018, sellers are required to collect sales tax in multiple states regardless of physical presence. To avoid unnecessary sales tax, Tax Exempt Customers and Resellers are requested to provide Exemption Certificate.