If you would like to have a new badge created, please fill out this form with your request. Be sure to read our
Badge Creation Requests webpage before submitting.
If you are requesting multiple badges, please fill out a separate form for each badge so we can clearly understand the different requirements. If you have any questions about the request form, please contact
info@mountaineers.org.
Please Note - All fields are required.
This question requires a valid date format of MM/DD/YYYY.
8. Please upload up to 3 images to help us understand what your badge should look like.
Max file size per image: 2 MB