Conference Patch Order Form

Conference Patch Order Form
Once you fill out this order form and submit payment, we will mail your order to the address listed. If you have any questions, please contact the Youth Department via email at youthdept@ilcsda.org or by phone at (630) 716-3555.

PLEASE NOTE- We will only be processing orders from Club Directors, Deputy Directors, or their designated person(s). All out-of-conference orders will be limited to a maximum of 10 patches.
Full Name *

First Name Last Name
Church & Club Name *
E-mail *
example@example.com
Shipping Address *

Street Address

Street Address Line 2

City State

Zip Code
My Products
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Class A PF Uniform Conference Patch
$ 3.00 Quantity
Item subtotal: $ 0.00

Total

$ 0.00
Payment Options *

Mail in check (You can still submit this form. Just ignore the next page after you submit) Credit/Debit card (Follow instructions after submission)
Comments
Thank you for completing this order form! Your order is not complete until you make a payment.
- If you are paying by check, click on the "Submit Order" button and you're finished. Please make checks payable to:
Illinois Conference Youth Department

619 Plainfield Rd

Willowbrook, IL 60527

Memo: Pathfinder Patches
- If paying by Credit/Debit card, click on "Submit Order" and follow the instructions on the next page.
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