You can leave any notes here that you'd like people to read/be aware of before pledging to the limited badge petition. Add correct text to the table below.
| LIMITED EDITION BADGE SIGN-UP | |
| [name of badge here] | |
|
KEY*:
RED 950 →
ORANGE 940-900 →
PURPLE 890-850 →
BLUE 850-800 →
GREEN 790-750
|
|
| BADGE TYPE: FULL-LENGTH | CURRENT BADGE PRICE: 950 |
| PAYMENT DUE DATE: [month][day] | TRANSFER AKORNS TO: @ |
| USERNAME: | # AKORNS PAID: |
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