PATCH ORDER FORM

Looking to get signed up? Click here

Patch order deadline is April 20th.

We will be ordering the patches from our vendor after all orders are received, so please factor in the time needed to produce the patches. We estimate the patches will arrive to be distributed 2-4 weeks after our order is placed and will take another 1-2 weeks to be distributed and mailed.

PATCH ORDER FORM

Front Desk

Unit Type: *

Unit Number:

District

Adult First Name *

Adult Last Name *

Unit Position

Email Address *

Confirm Email *

Mobile Phone Number *

Address 1 *

Address 2

City *

State *

Zip *

INDIVIDUAL OR BULK

Would you like to purchase patches at the individual price ($5 each) or at the bulk rate ($2.50 each with $10 packing/shipping fee) *

Individual ($5 each)

Bulk ($10 + $2.50 each)

How many patches would you like?

Individual patches @ $5 each

How many patches would you like?

Bulk-Rate Patches @ $2.50 each

Current Total:

$0.00

How do you wish to pay for your registration? Online with a Convenience Fee for online credit card use - VISA/MasterCard Mail a Check to 970 W Julian Street, San Jose, Ca 95126 * 🛈

2.00% For Visa or Mastercard

Mail in Check - 970 W Julian St, San Jose CA 95126