Harlan Technologies

Name Tags by Gene

135 Wilson Ave., Machesney Park, IL 61115-2362

Phone: (815) 543-0894 or (815) 639-9175

Home About Us Amateur TV Name Tags Contact Us Related Sites Order Form Accessories

Club GMC Order Form

There is NO shipping & handling charges for the name tags PLUS any accessories, but a shipping & handling charge of $1.50 will be added for orders of accessories only

Custom Badges Require your artwork to be emailed to atvq@hampubs.com

Which Club Do You Belong To?

Type of Clasp:

Extra Accessories:

You may select multiple items by using the CTRL button when you click on an item

Full Name:

City, State

Second Name:

City, State

Enter any
Special Instructions or additional information here

Name

Address

State:

City:

Zip Code:

Phone:

E-Mail:

Select Credit Card:

Card Number:

Exp Date:

Your credit/debit card will not be charged until an order has been shipped

Click submit to place your order, or print this page and drop it in the mail

Optional, if ordering a second name tag

Sales Tax (8.25%) added for Illinois residents only on all name tag accessories

Shipping & Billing Information: