GeoAg Solutions ID Card Order Form

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Company Name* This field is required.For billing purposes

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Order Placed By * This field is required.Authorized to order and purchase ID Cards

First Name

Last Name

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E-mail* This field is required.

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Reason for OrderSelect only one.

New Cards

Replacement for lost or broken cards

Spare Cards

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What type of ID card(s) do you needSelect only one.

Custom Printed with Employee Name, ID, and Barcode and Encoded for RFID

Sequential Fill in the Blank Cards - Fill in the Blank Name, Printed with ID and Barcode, RFID Encoded with Employee ID Number

Fill in the Blank Cards (Handwrite Employee Name and ID, NOT RFID Encoded)

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ID Card Type Chosen

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Upload methodSelect only one.

Upload HarvestPay ID Card File

Upload your own File (Excel or CSV) - Must include a separate column for each data field First Name, Last Name, ID Number. Also, if you include a column specifying the crew, we can sort the cards by crew for you when we print them.

Manually enter First Name, Last Name and ID Number - Limit 40 cards

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Upload the HarvestPay ID Card FIle Upload the file generated by HarvestPay

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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Upload your own fileUpload your .csv File Here. You must include FIRST NAME, LAST NAME, and ID in separate columns. If you include the CREW as well we can sort them for you.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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Manual Entry Form Enter First Name, Last Name and ID Number for each card needed. Click on "Add Row" to add information for up to 40 ID Cards. To remove a row click on the "X" button at the end of the row.

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Sequential ID Card RequestNo Preceding Zeros

Please enter a Starting number for sequential cards. Please DO NOT include preceding zeros.

Please enter an Ending number for sequential cards. Please DO NOT include preceding zeros.

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How many fill in the blank cards do you need?

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Delivery PreferenceWe can usually ship your order the same day depending on carrier cutoff times/when and you send you order in. If you have an emergency and need them delivered immediately or sooner than US Mail or UPS, please select URGENT. Orders are subject to shipping and handling costs.

Pickup from GeoAG Solutions 202 Dal Hall Blvd Lake Placid, FL 33852 (If after hours, ID cards will be in the drop box at the rear of the building)

US Mail First Class (2-3 days to Florida Address)

UPS Ground (Usually Next Day within Florida)

Overnight (For rush delivery outside of Florida)

Urgent can you please deliver ASAP

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Delivery Choice

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Delivery Address:(mailing for USPS, Physical for UPS)

Street Address

Street Address Line 2

City

State

Zip Code

Country

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Select the date that you will pick these cards up on

Date

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Name and Phone number of the person who will be receiving this urgent delivery

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Specific instructions regarding how you would like these cards deliveredThe more specific the information you can provide here, the faster we will be able to get cards to you.

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Comments or notes regarding your order. · Let us know if there is anything we need to do specifically regarding this order. If you would like duplicate cards printed please indicate “DUPLICATES” below.

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Order Number

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Calculation