Order Form
WHY DO WE NEED HIM GEAR?
HIM is made up of hundreds of students from schools throughout the Bay Area. As such, it has become increasingly impossible to recognize all the HIM members at an event. Thus we ask members to wear a HIM lanyard and name badge, which helps event staff, as well as HIM leadership oversee our dedicated members at events.

HIM Gear will be distributed at club meeting, at an event you're signed up for or you can meet up with an officer. In any case, you will be notified when your order is ready for delivery. This may take a few weeks. Feel free to contact your club officers or email support@heartinmotion.org Thanks for you patience.

Full Name *
This will be used for the name badge so please verify that there are no typos.
Your answer
Cell Phone *
Use this format 415-463-9198
Your answer
School *
Just put the name, dont include "High School". Example: Albany, Balboa, Burton, Galileo, Lincoln, Lowell
Your answer
Year *
What is your graduation year?
Your answer
Upcoming Event? *
Put Event Name & Shift or None (ie. SF Marathon - Saturday Expo and Sunday Post Race)
Your answer
Lanyard & Name Badge *
Email Address *
To verify the authenticity of this order: Use the email address that you use to login to the HIM site.
Your answer
Facebook URL *
ex: www.facebook.com/dy.juanco (put N/A if you do not Facebook, we will contact you by phone or email)
Your answer
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