Request Badge Southeast Region name badges are now available to order.Each badge comes with a magnetic back.If you desire a new badge, please fill out the form below.It will notify our Membership Director Debby Davenport of your request for a badge. She will follow up with you when she receives your request. This is an example of the badge: Request Badge Name * First Last Name * Last Name on Badge * IMPORTANT: Please specify exactly how the name on the badge should read. For example: Robert Smith vs. Bob Smith. Please enter your email address and/or phone number so Debbie can contact you. If you enter an email address, a confirmation email will be sent. Email Address Enter Email Confirm Email Address Confirm Email Phone If you are human, leave this field blank. Submit Badge Request