Promo Code: DISCOUNTS AVAILABLE ONLY WITH YOUR AFFILIATE CODE
Number of Cards: <- Please make sure to select correct amount of cards being ordered, not doing so will cause delays with your order due to not being billed correctly!

Card 1-

Full Name:
Address displayed on card-
Street:
City: State: Zip: Country:
Gender:Hair Color:Eye Color:Height (x'xx" or xx cm):Weight (xxx lbs or xxx kg):
Date of Birth (mm/dd/yyyy):
Emergency Contact Person: Relation to Person Pictured: Emergency Contact Phone Number:
Friend/Caretaker Name: Phone Number 1:Phone Number 2:
Vitals Information (Medications, Allergies, Foods, Ect.):
Photo:
Quantity of Duplicate AdultInfoCard™'s (must be ordered at same time as original):
Quantity of Additional Lanyards (for this child):

Card 2-

Full Name:
Address displayed on card-
Street:
City: State: Zip: Country:
Gender:Hair Color:Eye Color:Height (x'xx" or xx cm):Weight (xxx lbs or xxx kg):
Date of Birth (mm/dd/yyyy):
Emergency Contact Person: Relation to Person Pictured: Emergency Contact Phone Number:
Friend/Caretaker Name: Phone Number 1:Phone Number 2:
Vitals Information (Medications, Allergies, Foods, Ect.):
Photo:
Quantity of Duplicate AdultInfoCard™'s (must be ordered at same time as original):
Quantity of Additional Lanyards (for this child):

Card 3-

Full Name:
Address displayed on card-
Street:
City: State: Zip: Country:
Gender: Hair Color: Eye Color: Height (x'xx" or xx cm): Weight (xxx lbs or xxx kg):
Date of Birth (mm/dd/yyyy):
Emergency Contact Person: Relation to Person Pictured: Emergency Contact Phone Number:
Friend/Caretaker Name: Phone Number 1: Phone Number 2:
Vitals Information (Medications, Allergies, Foods, Ect.):
Photo:
Quantity of Duplicate AdultInfoCard™'s (must be ordered at same time as original):
Quantity of Additional Lanyards (for this child):

Card 4-

Full Name:
Address displayed on card-
Street:
City: State: Zip: Country:
Gender: Hair Color: Eye Color: Height (x'xx" or xx cm): Weight (xxx lbs or xxx kg):
Date of Birth (mm/dd/yyyy):
Emergency Contact Person: Relation to Person Pictured: Emergency Contact Phone Number:
Friend/Caretaker Name: Phone Number 1: Phone Number 2:
Vitals Information (Medications, Allergies, Foods, Ect.):
Photo:
Quantity of Duplicate AdultInfoCard™'s (must be ordered at same time as original):

Quantity of Additional Lanyards (for this child):

Shipping Information

Full Name to Ship To:
Street:
City:
State:
Zip Code:
Country:
Quantity
  Descripton Price Total
 AdultInfoCard™ (includes One (1) lanyard)
ea.
10.95
 Duplicate Cards (Must be ordered at the same time of original order to receive discount)
ea.
4.95
 Additional Lanyard
ea.
3.25


Name on Card: (First) (Last)
Buyers Email Address: Buyers Phone Number:
Billing Address:
City: State: Zip Code: Country:

Method of Payment


Card Number Code(What's This?) Expiration (mm/yyyy) /
Sub Total
CA Sales Tax
Shipping*
Total** -->

*Shipping Schedule
Standard (within 7 business days) ........ $10.99
Expedited (2-4 business days) ............ $20.98
2-Day (business days) .................... $27.98
Overnight .................................$32.98

**Order Cut Off Time
Orders recieved after 12:00pm(noon) PST will be processed the following day.

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