ORDER FORM 1 1 Inch Silicone Wristbands

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”