---

New Badge Order Form

I would like my new 49'er Member Badge to be engraved with the following name(s).
I have enclosed $10 for each badge:

1.___________________________________ 2.___________________________________ 3.___________________________________ 4.___________________________________

Circle choice of badge color: Red / Blue / White Red / Blue / White Red / Blue / White Red / Blue / White

 

Please print this out and send your payment with the form to:

The New 49’ers
27 Davis Road / P.O. Box 47
Happy Camp, CA 96039
(530) 493-2012

email: new49ers@goldgold.com