Order Form for Alamo City Gold & Silver Exchange. Order FormCustomer InformationPlease enter the following information to best contact you.Name* First Last Phone*Email* Badge InformationProvide the name, badge number & rank to be displayed.Name Name on badge. Badge NumberRankYour Badge InformationDo we have your badge type or style listed within our inventory? If not, don't worry you will be provided option to upload photo of your badge for us to replicate.YesNoBadge TypeIf your badge type is displayed, enter the number assigned to it here.Upload PhotoUpload a photo of your badge.Agency InformationSelect your State & Agency's Department of Service.StateSelect your State of service.Select StateFEDERAL AGENCYAlabamaAlaskaArizonaArkansasCaliforniaCanada - foreignColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinois IndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontana NebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvania Rhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDepartment of ServiceEnter your department: (e.g. San Antonio Police Department. Houston Fire Department, etc.)Select Jewelry TypeSelect as many items to be quoted on!MetalSelect from Gold or Sterling SilverSterling SilverGold - 10ktGold - 14ktGold - 18ktLaw Enforcement & Firefighter JewelrySelect the item(s) you're interested in for quotation. Bracelet Charm for Bracelet Cuff Links Pendant Money Clip Ring Earrings Tie Tack Lapel PinEarringsSelect OptionPostsLever BackFish HookMen or WomenIs the ring size for a man or woman?MenWomenSize of CharmSelect Size3/4"1"Size of PendantSelect Size3/4"1"1 1/14"Men's Ring SizeSelect Size77 1/288 1/299 1/21010 1/21111 1/21212 1/21313 1/21414 1/215Ladies' Ring SizeSelect Size44 1/255 1/266 1/277 1/288 1/299 1/21010 1/21111 1/212Special OptionsSelect desired options. Antique Finish High Polish Finish Diamonds / birthstones Engraving Enamel Full Inking Partial Inking Two-Sided Flip Two-Tone FinishMessageProvide us with any additional information here.CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.