QuiltNSW Name Badges

Submit this form and pay by credit card via the ANZ eGate secure payment facility.

If your payment is successful, your transaction receipt number will appear below.
If you provide an e-mail address, you will also receive a confirmation email, which includes a copy of your receipt number and the information you have provided on the form.

QuiltNSW does not collect nor store any credit card information in conjunction with this payment facility.

NAME BADGE ORDER FORM

A QuiltNSW name badge is available for purchase to wear at QuiltNSW meetings and other quilting events. These can be ordered at the time of membership renewal or, if your membership is current, then you can order a name badge separately using this form.

Applicant's Details

Membership Number

Name(Required)

First Name Family Name

For groups, please insert the group name as both the first name and the last name.

Address(Required)

Street Address City State Post Code Country

Preferred Phone Contact(Required)

I am a current financial member(Required)

Yes

Please use our 2022/2023 Online Membership form to join QuiltNSW and order your name badge. This form is only for current financial members wishing to order a name badge.

Name Badge details

Name to appear on badge(Required)

Type of badge(Required)

$15 (pin back)

$17 (magnetic badge)

Pin Back Badge (including postage)

Price:

Magnetic Badge (including postage)

Price:

Total

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