Pin – for delivery to the United States Lapel Pin "*" indicates required fields Note: this form allows shipping to the United States only and prices are in US$. Shipping to other countries is available here: https://rotarylgbt.org/product/pin/Name First Last Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific Zip Code Email* Mobile Phone* US Lapel pin – pin backing QuantityPrice is in Australian Dollars Price: $ 10.00 Quantity US Lapel Pin – magnetic backing QuantityPrice is in Australian Dollars Price: $ 10.00 Quantity Shipping*Up to 10 pins via First Class Parcel – AU$10Up to 20 pins via USPS Priority (flat rate padded envelope) – AU$17.00More than 20 pins – we will contact you with additional shipping costs.
