Name:____________
Address:
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Number of each color wanted...
[ ]black
[ ]white
[ ]red
[ ]green
[ ]light blue
[ ]dark blue
[ ]orange
[ ]yellow
[ ]rainbow
[ ]mystery mix
Total number of bracelets_____ x $2.00
Make checks payable to Amanda Gant.
Mail to: Amanda Gant
13 South First St.
Reynoldsville, PA
15851
Thank you for ordering. Wait 2-3 weeks for delivery.
