This form must be completed and approved by you manager in order to be processed. Please allow 2-4 weeks processing time for your new cards or badge. Thank you!

If you have questions, contact Ethan Everhart at eeverhart@theindependencecenter.com, call at ext. 160, or drop by his office upstairs in #204.

Name Badge Only Order Form

Complete this form if you are ONLY ordering a name badge.

  • This may or may not be the person whose name will appear on the badge.
  • Name as it appears here will be how it appears on the name badge.
  • Title as it appears here will be how it appears on the name badge.
  • This field is for validation purposes and should be left unchanged.

Business Card Order Form

Complete this form if you are ordering business cards. If you also want to order a name badge, check the appropriate circle.

  • If you are also ordering a name badge, name as it appears here will be how it appears on the name badge.
  • Standard format on cards is @the-ic.org [as opposed to theindependencecenter.org]
  • Enter your direct dial phone number. If you want to include an extension, type it in the box below.
  • Only add this if you want your cell phone number to appear on the card
  • This field is for validation purposes and should be left unchanged.