Card and Headband Order Form

Name *
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Phone Number

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Email *
Choose what you would like to order.
 Cards - $1.10 each plus shipping 
 Headbands - $4 each plus shipping 
If specific colors/themes/etc are desired, indicate in the Special Instructions box below.
CHOOSE THE TYPE OF CARD
More than one can be selected by holding down the Ctrl button
Type of Birthday Card
More than one can be selected by holding down the Ctrl button
Juvenile Birthday Card Option
 Boy 
 Girl 
QUANTITY OF CARDS
Birthday
Get Well
Wedding
Anniversary
New Baby
Thank You
If more than 10 are needed for any of the above card selections, indicate quantity in Special Instructions below
I prefer which of the following cards:
More than one can be selected by holding down the Ctrl button
Date Needed By:

MM
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DD
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YYYY
Special Instructions
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