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New Orleans EMS Tricentennial Badge Order Form

New Orleans EMS Tricentennial Badge Order Form

The New Orleans EMS Foundation has partnered with American Police Equipment (APE) to sell civilian commemorative, specialty, tricentennial New Orleans EMS badges. Each badge is engraved with a unique number on the rear of the badge.

APE will donate $10 to the New Orleans EMS Foundation for each commemorative badge sold using this form.

The cost of badges, including shipping, are:

  • Louisiana Shipping Address: $166.85
  • Non-Louisiana Shipping Address: $152.90

All orders will ship in January 2018. APE will handle all shipping and processing. Your credit card will not be charged until your order ships. You will only need to fill out one form per shipping address.

Order your specialty, commemorative badge while supplies last!

[contact-form to=”noemsf@noemsf.org” subject=”Tricentenial Badge Purchase Forms”][contact-field label=”Name as it Appears on Your Credit Card” type=”name” required=”1″][contact-field label=”Email” type=”email” required=”1″][contact-field label=”Cell Phone” type=”text” required=”1″][contact-field label=”Billing Address (address, city, state, zip)” type=”text” required=”1″][contact-field label=”Shipping Address (if different than billing address)” type=”text”][contact-field label=”Credit Card Type (Amex, Visa, etc.)” type=”text” required=”1″][contact-field label=”Credit Card Number” type=”text” required=”1″][contact-field label=”Credit Card Date of Expiration” type=”text” required=”1″][contact-field label=”Credit Card CCV Number” type=”text” required=”1″][contact-field label=”Number of Badges Ordered” type=”text” required=”1″][contact-field label=”Additional Comments” type=”text”][/contact-form]