OFFICIALLY LICENSED SUPER BOWL 50 BADGE PROGRAM

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1 OFFICIALLY LICENSED SUPER BOWL 50 BADGE PROGRAM PARTICIPATION SUBJECT TO NFL APPROVAL

2 SUPER BOWL 50 OFFICIALLY LICENSED BADGE PROGRAM Thank you for your interest in the Officially Licensed NFL Super Bowl 50 Badge program. The following is a preview package for the available NFL Approved badge styles, and information regarding how to participate. The last page of the package is a form to indicate your departments request to participate in the program, as well as which badges you want to utilize for your department or agency. IMPORTANT: The Super Bowl 50 Badge program does not require any department or government funds to participate. Badges selected by participating departments/agencies are made available for personal purchase by authorized officers and employees. The Super Bowl 50 Badge Program is available to area California public safety departments that are participating in the Super Bowl Public Safety Program - participation is subject to approval from NFL Security. Step 1 Please review the information attached and return the final page to Contact@SuperBowlBadges.com or via fax to Step 2 Once this completed application form is received it will be sent to NFL security for approval. If approved, a separate set of forms will be provided via to your department POC to specify the badge details and options that will be made available to personnel when ordering online. All officers will be able to order online individually, and choose from the options specified. For security purposes BADGES WILL NOT BE shipped to individual officers or employees. All badges will be shipped to a designated POC at each respective agency and must be distributed by the department / agency to officers and authorized personnel. How to Order All orders must be placed online at Phone orders are not accepted. Once your program is chosen and the options and POC are established a special section at will be created specifically for your department or agency. Orders can only be accepted from individual officers of participating departments and agencies. Production Lead Times All badges are custom made and shipped in approximately 8-10 weeks from receipt of order. Thank you again for your interest in the Super Bowl 50 Badge Program

3 7 Pt Star (Version A) Actual Size: 3 x 3 Officially Licensed Super Bowl 50-7 Point Star version A Model: SB50-7PT-A

4 7 Pt Star (Version B) Model: SB50-7PT-B Actual Size: 3 x 3 Officially Licensed Super Bowl 50-7 Point Star version B

5 Eagle Top Shield Model: SB50-EAGLE-A Actual Size: 3.25 Tall Officially Licensed Super Bowl 50 - Eagle Top Shield

6 Fire Shield Model: SB50-FIRE-A Actual Size: 3 Tall Officially Licensed Super Bowl 50 - Fire Shield

7 Super Bowl 50 Officially Licensed Badge Program Department / Agency Department Application to Participate The above named department / agency requests to participate in the Super Bowl 50 Commemorative Badge Program. If approved by NFL Security The above named department / agency will allow officers to purchase approved Super Bowl 50 badges, and will promote the Super Bowl Badge Program to it s officers. IMPORTANT: The Super Bowl 50 Badge program does not require any department or government funds to participate. Badges selected by participating departments/agencies are made available for personal purchase by authorized officers and employees. The undersigned agrees to the statements outlined above and affirms that s/he is authorized to request department participation on behalf of The above named department / agency Program Selection 7 Point Star (Model SB50-7PT-A) Choose Support City Badge Program Check all that apply to your department 7 Point Star (Model SB50-7PT-B-CHP) Eagle Top Shield (Model: SB50-EAGLE-A) Fire Shield (Model: SB50-FIRE-A) The above named department / agency requests to participate in the program(s) selected above. It is understood that the selected program can be customized to accommodate a variety of titles, finishes, and options. Due to the size and complexity of the Super Bowl Badge Program many options are limited. It is further understood that no changes can be made to the size or physical structure of any of the designs. Once this completed application form is received it will be sent to NFL security for approval. If approved, a separate set of forms will be provided via to your department POC to specify the badge details and options that will be made available to personnel when ordering online. Please include a brief statement about your department s participation in the Super bowl 50 Public Safety Program To sign form Digitally and submit via - save PDF to your computer first - Open the PDF, complete the fields and click Submit Form. To sign manually feel free to complete the fields, print the document, sign and or fax. Authorized Signature Print Title and Name Date Return signed form via to Contact@SuperBowlBadges.com or fax to Department / Agency Contact: Title/Name Phone:

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