Western Australian Rogaining Association
		Bagdes order form

IMPORTANT   INFORMATION   READ BEFORE   ORDERING!!

Any badge requests will be cross checked, so only order badges if the nominated person has achieved the corresponding score in a WA bush rogaine, other than a 6-hour. Badges are approximately 7cm in diameter, colours may vary from the website photos. Check that the contact details you enter are correct as this information will be used to post your order. Please allow up to 4 weeks for delivery.

(Enter quantities in boxes)

Please enter names of the people you are ordering points badges for and the number of badges you wish to order.
Name	Qty	Qty	Qty	Qty	Qty

YOUR  CONTACT  DETAILS	Given Name
	Surname
	Address
	Address2
	Suburb	State ACT NSW NT QLD SA TAS VIC WA Overseas Postcode
	Email
	Phone
	For Further Information, phone (before 9pm) Sue on 0419 853 018 or e-mail Sue