Print Collateral Request Form

Please note: printed materials typically take between four and six weeks to arrive.

Select Your Group*

Other*

Affiliate Group or Chapter Email

Are you an Affinity Group leader?

Yes
No

Title

Shipping Information

Recipient Name*

First*

Last*

Recipient Email*

Recipient Address*

Street Address*

City*

State / Province*

ZIP / Postal Code*

Country*

Print Material Request

Which printed materials are you requesting?*

Select all that apply

Does your chapter have more than one chapter scholarship fund?*

If your chapter has more than one fund, please mark yes. We will follow up with you to confirm the desired fund(s) you would like listed on your gift form.

Yes
No

Email Address

Provide the email address as it will be printed on the business card.

Which social media accounts would you like listed on printed materials?

Facebook Link

Twitter Link

Instagram Link

LinkedIn Link

WeChat Link

Which additional social media accounts should be included? (Include link)

Badger Leaders Resources

Print Collateral Request Form