Jewelry Order Form
Simply copy and paste this order form, fill it out, and mail it in!
Holly’s Hope Jewelry Mail Order Form
Name :
Address :
Phone :
E-Mail :
.................................................................................................................................................
Holly’s Hope Bracelets
($12 each , offered in stretch sizes x-sm to x-lg)
Sizes and number of bracelets :
Total $
Hopeful Beaded Bracelets
($5 each, in stretch sizes x-sm to x-lg)
Sizes and number of bracelets :
Total $
Earrings
($5 per pair)
Total $
I.D. Lanyards
($25 each )
Total $
Eyeglass Holders
($15 each)
Total $
.................................................................................................................................................
Please include $3.00 shipping for each amount up to $100.00.
Total Check amount $____________
Please make checks payable to Holly’s Hope and mail to:
Holly’s Hope
c/o Lisa Wojenski
17 Oriole Drive
Bedford, NH 03110
Email [email protected]
Website www.hollyshope.weebly.com
Thank you for supporting Holly’s Hope for a cure for Friedreich’s Ataxia!
Name :
Address :
Phone :
E-Mail :
.................................................................................................................................................
Holly’s Hope Bracelets
($12 each , offered in stretch sizes x-sm to x-lg)
Sizes and number of bracelets :
Total $
Hopeful Beaded Bracelets
($5 each, in stretch sizes x-sm to x-lg)
Sizes and number of bracelets :
Total $
Earrings
($5 per pair)
Total $
I.D. Lanyards
($25 each )
Total $
Eyeglass Holders
($15 each)
Total $
.................................................................................................................................................
Please include $3.00 shipping for each amount up to $100.00.
Total Check amount $____________
Please make checks payable to Holly’s Hope and mail to:
Holly’s Hope
c/o Lisa Wojenski
17 Oriole Drive
Bedford, NH 03110
Email [email protected]
Website www.hollyshope.weebly.com
Thank you for supporting Holly’s Hope for a cure for Friedreich’s Ataxia!