ORDER FORM 1 1 Inch Silicone Wristbands .pdf

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Curtiss Stella’s

Bracelet Order Form #1
2011/2012

FRONT

BACK
1 Inch Silicone Wristbands

1 Inch Black and White Silicone Wristbands - $5.00 each (Please indicate the number of wristbands)

________ (Number of Wristbands)

Total $

________

Shipping Method (Indicate delivery site below)

+

Add $3 for 1-2 Bracelets, $5 for 3-10 Bracelets

Shipping $

Total Enclosed $

Please make checks payable to: Curtiss Stella

________

________

Thank You for
Your Order!

Mail to:
Curtiss Stella
P.O. Box 167
Norwood, NJ 07648

_________________________________________________________
_____________________________________________________________________________
Name
_____________________________________________________________________________
Address, including city and zip
_____________________________________________________________________________
Email Address

Phone
Questions? Find Curtiss on Facebook… Search for “Curt Stella”


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