ORDER FORM - Long Service Award Application

LONG SERVICE AWARD APPLICATION

Is someone in your company celebrating long service? Long service certificates and badges are available to order from BBNI for any registered leader. Simply order via this form and the long service pack will be posted to you, or available for collection at Newport. Long service is calculated as your time as a leader in the organisation and does not include attendance as a child.
Award Levels

Bronze: 15 Years Service

Silver: 20 Years Service

Gold: 30 Years Service and above
Leaders Receiving Award
Leaders Info
Postage Details
Name of applicant (award will be posted to this person)

First NameLast Name
Applicant's email
Order to be posted or collected
Applicant's Address (for delivery)

Street Address

Street Address Line 2

Town/CityCounty

Post Code
Collection Appointment
I confirm that I have verified the length of service for all applicants which only applies to adult leadership
Enter quantities of the items you would like to order (Quantities must match what is input above or order will not be posted until payment made)
prevnext( X )
[LS1] Bronze Badge & Certificate Pack
For 15 years service

£5.00 Quantity



[LS2] Silver Badge & Certificate Pack
For 20 years service

£5.00 Quantity



[LS3] Gold Badge & Certificate Pack
For 30 years service and above.

£5.00 Quantity



Total

£0.00
Date Leader Registration checked
For BBNI use only
Date order posted/ready for collection
For BBNI use only
GDPR statement:

All personal data will be processed by The Northern Ireland Boys’ Brigade (BBNI) in accordance with the Data Protection Act 1998. Your personal data will be used for administrative purposes so The Northern Ireland Boys’ Brigade (BBNI) can manage your booking/request effectively and will not be disclosed to any third party without your prior written consent. Your information will be retained on a password protected computer system and reviewed regularly according to our retention policy.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

LONG SERVICE AWARD APPLICATION

Leaders Receiving Award

Postage Details

Enter quantities of the items you would like to order (Quantities must match what is input above or order will not be posted until payment made)*

Payment Methods

Enter quantities of the items you would like to order (Quantities must match what is input above or order will not be posted until payment made)