------FORM STARTS ------LAPD BADGE OPTION, CUSTOM BADGE FORM ------

Fill one form for each badge you purchase – read the instructions before!

-FILL WITH ‘X’ WHERE BRACKETS [ ] APPEAR

-IF YOU WANT TO LEAVE BLANK A FIELD ANSWER WITH: ‘N/A’

-IF YOU WANTTO LEAVE US TOINSERT SOME DATA (FOR EXAMPLE ‘CARD NUMBER’ OR ‘SERVICE NUMBER’) THEN ANSWER WITH THREE SLASHES: ‘///’

-CENTRAL LOGO AND LOWER ARCH TEXT WILL BE THE SAME OF LAPD BADGES, THEREFORE, CUSTOMIZATION OF CENTRAL LOGO AND LOWER ARCH ARE NOT AVAILABLE HERE.IF YOU WANT THEM CUSTOMIZED, YOU NEED TO DOWNLOAD AND FILL THE OTHER FORM.

-BADGES FROM THE RANK OF INSPECTOR TO COMMISSIONER DO NOT BEAR BADGE NUMBER BUT THE RANK’S SYMBOL: ONE TO FIVE SMALL SILVER STARS ACCORDING TO THE RANK. THESE STARS WILL NOT BE PRINTED ON CLEAR LABELS, BUT GLUED DIRECTLY ON BADGE.

THIS IS THE FORM FOR THE LAPD BADGE OPTION !

Use this form only if you need a replica of a Los Angeles Police badge.

If you need a badge with your own custom data, download the other form.

PLEASE FILL ALL SPACES

CUSTOMER NAME :

write the same name shown on your paypal home address

CUSTOMIZATION SECTION

mark ONE of the following options

I HAVE A PHOTO OF A BADGE I WANT TO REPLICATE [ ]

Mark this option if you already have a photo of a badge. This will allow to save a lot of time.please send the photo together with this form (or insert it in the white space on last page of this form), to the email address shown in the contact us section on (.JPG OR .BMP FORMAT, NO LOW RESOLUTION IMAGES)

I WANT TO WRITE DOWN INFORMATION IN THIS FORM [ ]

Mark this option if you prefer to write yourself the information in the following fields:

UPPER ARCH SECTION – SELECT RANK

mark ONE of the following options

-MOTOR OFFICER [ ]

-POLICEWOMAN [ ]

-POLICEMAN [ ]

-POLICE OFFICER [ ]

-INVESTIGATOR [ ]

-DETECTIVE [ ]

-SERGEANT [ ]

-LIEUTENANT [ ]

-CAPTAIN [ ]

-INSPECTOR [ ]

-COMMANDER [ ]

-ASSISTANT CHIEF [ ]

-DEPUTY CHIEF [ ]

-CHIEF [ ]

-COMMISSIONER [ ]

BOTTOM RECTANGLE SECTION

BADGE NUMBER

AVAILABLE ONLY if you selected a rank FROM MOTOR OFFICER TO CAPTAIN

BADGE NUMBER (max 5 digits):

POSITION OF SILVER STARS FOR COMMISSIONER BADGE

AVAILABLE ONLY if you selected rank of COMMISSIONER

-“W” PATTERN [ ]

stars will be placed in the bottom rectangle with a “W” pattern: 3 stars on the top, 2 stars below

-IN LINE [ ]

Stars will be placed in the bottom rectangle in line: 5 stars on the same line

RANKS FROM INSPECTOR TO CHIEF WILL BEAR STARS AT THE BOTTOM ACCORDING TO THE RANK

REMARKS

ONCE YOU WILL GIVE US YOUR DATA AND THEY WILL BE PRINTED ON THE ID CARD THEY CANNOT BE REMOVED OR MODIFIED IN ANY WAY. SO PLEASE CHECK DOUBLE TIME THE INFORMATION YOU GIVE IN THIS FORM.

------FORM ENDS ------LAPD BADGE OPTION, CUSTOM BADGE FORM ------

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