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 700 →
ORANGE 690-650 →
PURPLE 640-600 →
BLUE 590-550 →
GREEN 540-500
|
|
| BADGE TYPE: INDIVIDUAL | CURRENT BADGE PRICE: 700 |
| PAYMENT DUE DATE: [month][day] | TRANSFER AKORNS TO: @ |
| USERNAME: | # AKORNS PAID: |
| 1. @ | -- |
| 2. @ | -- |
| 3. @ | -- |
| 4. @ | -- |
| 5. @ | -- |
| 6. @ | -- |
| 7. @ | -- |
| 8. @ | -- |
| 9. @ | -- |
| 10. @ | -- |
| 11. @ | -- |
| 12. @ | -- |
| 13. @ | -- |
| 14.@ | -- |
| 15. @ | -- |
| 16. @ | -- |
| 17. @ | -- |
| 18.@ | -- |
| 19. @ | -- |
| 20. @ | -- |
| 21. @ | -- |
| 22. @ | -- |
| 23. @ | -- |
| 24. @ | -- |
| 25. @ | -- |
