Meningitis Awareness Bracelet/Ribbon
Order Form
Please print only page1 and mail completed form with your donation.
Thank Your For Your Donation
of
$5.00 for each bracelet and/or $1.00 each for ribbons.
|
Please allow 3-4 weeks for your order to be filled. We are running low on bracelets and will be ordering more ASAP. |
Postage and handling included in donation within the
United States and Canada.
Date____/____/________
| Name________________________________________________ |
| Address______________________ City_________________________ State _____________, Zip Code__________________ |
| Phone Number ___________________ E-mail ____________________ |
| Number of bracelets requested ___________ ribbons _________ Amount of donation enclosed $_________________ |
| Donation made in honor_________________________ Memory of ___________________________ Please mail order form and money order or check in to: Meningitis Angels |
|
PO Box 448 |
| Porter, Texas 77365 Thanks & God Bless You, Frankie Milley and the Angels |
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You can also use your debit or credit card. |