WESTERN NEW YORK STATE REFEREES ASSOCIATION
USSF REFEREE BADGE ORDER FORM

Please note-In order to get a badge from this site you must:

  • Be a currently certified and approved referee member of the Western New York State Referees Association.
    Referee Badges ONLY!
  • Mail your check as directed in the replying email confirmation
  • You will only get badges that conform to your own personal current grade-you must only order badges for yourself!
  • BADGE COST: $2.00 per badge requested plus $3.00 shipping/handling.
    Example: If you order 1 badge your total cost will be $5.00. If you order 2 badges your cost will be $7.00.
  • ALL BADGES ARE SENT VIA USPS. Allow 3-5 days for delivery PLUS the amount of time required for us to recieve your check.
    NO CREDIT CARD ORDERS. Sorry!
FULL NAME:
MAILING ADDRESS:
CITY, STATE and ZIP:
E-MAIL ADDRESS:
NUMBER OF BADGES:
LIMIT OF 5 BADGES PER ORDER!
Please hit the "Place Order" button only once. It may take several seconds to place your order.
Please note and follow the instructions on the next screen for payment of your order!