Bands Order Form
Name:____________________
Phone
#:_(___)_____-_______
Address:___________________
City/State:___________/______
Zip:_________
Qty:___(limit 4)
Delivery
Date:_____/_____/_____
Options:
q Necklace
q Bracelet
Delivery
Options:
q Airborne
q Ground
q Overnight
q Express
Payment:
CASH ONLY
Total:$____.__
Colors:_____________________________________