The Brain Injury Awareness Pin signifies the journey each person who survives a brain injury travels to wholeness. The green flash represents new life and growth experienced on the path to recovery. Wearing the ribbon should also serve as a reminder of the thousands of individuals who lose their life to brain injury each year.

This pin is available for only $10.00 (this includes shipping and handling). A portion of the proceeds of this pin helps BIA-WV provide information and resources to people affected by brain injury throughout the state of West Virginia.

Please print this order form, complete and mail with your check to:

BIA-WV
PO Box 574
Institute, WV 25112-0574

Name: ________________________________________________________

Shipping Address: _______________________________________________

City/State/Zip: __________________________________________________

May we add you to our mailing list? Yes No

# of Pins _________ at $10.00 per pin Total price: _____________

If you would like to have pins shipped to different mailing addresses please submit a separate order form for each. You may pay with one check.

Please allow 6-8 weeks for delivery.