Badgersett E-mail Marketplace Order Form Fill in billing/shipping information and requested ship date, and indicate the quantity of each item you would like to order. Be sure you HAVE READ and UNDERSTAND any terms linked in the "Ordering" section of the appropriate catalog page before placing your order. In order for us to process your order, you must indicate that you have done so by typing your name and today's date below. I have read and accept the order terms and guarantees! Signed: Date: BILLING INFORMATION Name: Phone: Street Number: City, State, Zip: Email: SHIPPING ADDRESS (if different) Name: Street Number: City, State, Zip: REQUESTED SHIPPING DATE(mm/dd/yyyy): ___ Or X here to ship when ready _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Item Code Description Quantity ------------------------------------------------------------- Example: Update T-shirt, red Large 2