Bulk Order Form

Vot-ER creates and ships badges the first 50-100 badges for your health organization at no cost to you. All you need is a plan for distributing and using them. If you order more than that, Vot-ER will cover the first $300, and typically we find that after that, the cost of an additional badge and lanyard is $4-6. For the purposes of securing institutional or grant funding ahead of time, we suggest you estimate a cost of $5 per badge. Vot-ER will wait to place the order with our vendor until you have secured funding.

Ordering multiple bulk orders for the same institution: We will cover the cost for multiple bulk orders at an institution under the following circumstances

1. Each department or group from the institution must have a unique point of contact. We prefer that this point of contact is also the person placing the order.

2. If different departments are ordering, we strongly recommend choosing different codes for each bulk order. You will receive both department specific and institution wide tracking this way.

You have two options for bulk orders:

Physical Badges (First 100 free)

Physical badges are delivered within one month, and include:

- the Vot-ER badge backer

- a Vot-ER lanyard

Digital Badges (Free)

Digital badges are emailed to your group within one week, and can include:

- a printable badge

- a downloadable badge for use as a phone wallpaper or lock screen

Please note that if you order physical badges, you will automatically receive the digital badges as well.

Every bulk order comes with a dedicated webpage, QR code, and text code so you can track your impact!

Step 1 of 4: Basic Information

First Name

Last Name

Email Address

Phone Number

Organization

What group, team, department, etc. are you ordering bulk kits for?

Your Occupation

What state is your organization in?

The majority of my patients are (select all that apply):

24 years old or younger.

Medicaid/CHIP eligible or do not have health insurance.

Self-identified as Black/African American and/or Hispanic/Latino.

Best served in a language other than English.

None of the above apply

My institution views itself as a space that is designed to serve (select all that apply):

LGBTQ+ communities

Rural communities.

Indigenous communities.

Individuals with physical, mental, and/or emotional disabilities.

None of the above apply

Which of the following best describes you?

Our Terms Of Use ask that individuals using Vot-ER badges do so in a way that is compliant with your organization's code of conduct and policies.

Which of the following best describes you?

I am a senior leader in my institution/department and can approve this myself.

I have already secured approval from my institution/department.

I am still working to secure sign-off

Other