Extension Homemakers Name Badge Order Form FCS-739 Rev.07/2016
District Ozark Ouachita Delta
County	Date
Total number of name badges ordered	X $6.25 = $	0.00
For a magnet back add $2.75 to each badge price	X $2.75 = $	0.00
Deadline for ordering EHC name badges is September 1 and February 1 each year. Make one check payable to Arkansas Extension Homemakers Council (AEHC) and mail or give to your District Director.
Type or print clearly the names EXACTLY as they are to be printed on the name badge.
Name of person to receive the order (District Director)
Address	City, Zip Code
To find your District Director, go to AEHC website and look under Executive Committee
Make 3 copies:
1 -	Retain a copy
2 -	Send 2 copies and one check to your District Director