RDPOA Pocket Badge Order Form
Last Name:
First Name:
MI:
Address:
City:
State:
Zip:
Phone:
IMPORTANT NOTICE: All pocket badge orders must be accompanied by documented proof of retirement from a recognized law enforcement agency or military police unit.
The pocket badge contains two nameplates. Each nameplate can accommodate two lines and each line can accommodate up to 20 characters including spaces and punctuation.
Top Nameplate – Line 1:
Top Nameplate – Line 2:
Bottom Nameplate – Line 1:
Bottom Nameplate – Line 2:
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