Archery WA – 2014 Badge and Medal Order Form
(Orders are to RECEIVED by 20th of the month)
Club: / Date:Contact Name: / Phone Number:
Email Address:
Postal Address:
MEDALS & CLASSIFICATION INSERTS: Please order items in multiples of 5
CLASSIFICATION MEDALS (Blank for Indoor, Field and Clout)
Target (Bronze) / Indoor (Black) / Clout / Field / Price per Item$4.50
CLASSIFICATION INSERTS (for Indoor, Field and Clout)
White / Black / Blue / Red / Gold / Price per Item$2.00
BRONZE TARGET CLASSIFICATION MEDALS WITH 'INSERT' INCLUDED
Bronze/white / Bronze/black / Bronze/blue / Bronze/red / Bronze/gold / Price per Item$5.25
AWARDS AND BADGES
Item / Number Required / Price per ItemBronze (club) All Gold medal (Blank – buy separate insert) / $4.50
Bronze (club) Perfect Ten medal (Blank – buy separate insert) / $4.50
FIELD PINS : Please order in numbers required
Field All Gold Pins (FITA Field) / $5.25
Field Perfect Pins (FITA Field) / $5.25
Field 20 Pins (National Field) / $4.50
DISTANCE INSERTS: Please order items in numbers required
DISTANCE INSERTS
Ind18 / Ind
25 / 80cm
20M / 80cm
25M / 80cm
30M / 80cm
35M / 80cm
40M / 80cm
50M / 80cm
60M / Clout
100 / Clout
125 / Clout
145 / Clout
165 / Clout
180 / Price/
Item
$2.00
10 / 15 / 20 / 25 / 30 / 35 / 40 / 45 / 50 / 55 / 60 / 70 / 90
$2.00
Ind = Indoor, 80cm = shot on 80cm target face, Clout = Clout, and others are shot on a 122cm target face.
Please indicate in un-shaded areas the number of each item required, and send completed order form to:
Post:AWA Medals Coordinator, PO Box 2152, Seville Grove, WA 6112
Email:
Do not send payment with the order as an invoice will be sent to you with the medals.
2014 AA Badge and Medal Order Form