Magnetic Name Badges Form

Server Submission Date & Time

MonthDayYearHourMinutesAM/PM Option
2026 Annual Partners
Custom Magnetic Namebadge Benefit

Thank you for being a valued 2026 Annual Partner. As part of your partnership benefits, you receive custom metal magnetic name badges to wear at PMA events. (Quantity available varies by partnership level.)

Please provide the information below for each badge recipient so we can ensure everything is produced accurately.
Confirm Company Name*
Select your partnership level from the list below:*
- Your sponsorship level includes includes one (1) complimentary magnetic namebadge.
  
  Please fill in the information below.
- Rep #1 Name*
  
  First NameLast Name
- Rep #1 Professional Designations, if you desire for them to appear on your badge. Reference examples in header.
- Rep #1 Job Title*
- Your sponsorship level includes includes two (2) complimentary magnetic namebadges.
  
  Please fill in the information below.
- Rep #1 Name*
  
  First NameLast Name
- Rep #1 Professional Designations, if you desire for them to appear on your badge. Reference examples in header.
- Rep #1 Job Title*
- Rep #2 Name*
  
  First NameLast Name
- Rep #2 Professional Designations, if you desire for them to appear on your badge. Reference examples in header.
- Rep #2 Job Title*
- Your sponsorship level includes includes three (3) complimentary magnetic namebadges.
  
  Please fill in the information below.
- Rep #1 Name*
  
  First NameLast Name
- Rep #1 Professional Designations, if you desire for them to appear on your badge. Reference examples in header.
- Rep #1 Job Title*
- Rep #2 Name*
  
  First NameLast Name
- Rep #2 Professional Designations, if you desire for them to appear on your badge. Reference examples in header.
- Rep #2 Job Title*
- Rep #3 Name*
  
  First NameLast Name
- Rep #3 Professional Designations, if you desire for them to appear on your badge. Reference examples in header.
- Rep #3 Job Title*
- Should be Empty:

2026 Annual PartnersCustom Magnetic Namebadge Benefit

2026 Annual Partners
Custom Magnetic Namebadge Benefit