RICK JAMES

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Name Badge Order Form
For Professional Practical Placements students are required to wear a Curtin name badge.
Price: Magnetic or Pin badges: $19.80 (GST inclusive) + postage costs of $2.50 with payment.
NB: The Guild is not responsible for lost mail or any damages once the badge has been dispatched.
How to Order:
Directly through the Guild Copy & Design Centre, lodge the form by either of the following;
 Go into the guild personally at the Bentley campus
 Fax to (08) 9266 1798
 Email this completed form to: copy.design@guild.curtin.edu.au
NAME:
STUDENT ID:
ADDRESS:
_____________________________________________________________________________
__________________________________________
Tel:
Credit Card Details: Card Type (ie;Visa, Mastercard):
Card Number:
Expiry Date:
Name on Card:
Details on Name Badge:
NAME (in block letters):
TITLE (ie; Pre-Service Teacher): Pre-Service Teacher
Mark an X in the appropriate box:
Pin Badge:
Magnetic Badge:
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