Boogaloo Hours: MWF 9-4 MST Bracelets email or fax anytime! Boogaloo Bracelets PO BOX 1523 Midway, UT 84049 phone: (435) 709-8859 fax: (435) 503-8102 [email protected] boogaloobracelets.com Ship To: Store Name: Contact: Address: Phone: Email: Date Ordered: Starter Kit $280.00 Stand with 80 bracelets, 20 in each size Standard styles unless otherwise indicated. Super-Stocked Starter Kit $420.00 Stand with 120 bracelets, 30 in each size Standard & Pearl styles unless otherwise indicated. Display Stand $12.50 Please send me a replacement stand. Credit Card Info Name on Card: Credit Card Number: Expiration Date: Billing Zip Code: I am sending a check. Promotional Code: Total # of Bracelets Total Cost $ CVC Code 0-6 Month Bracelets 6-18 Month Bracelets 1-4 Years Bracelets 4-8 Years Bracelets #1 ________ #2 ________ #3 ________ #4 ________ #5 ________ #6 ________ #7 ________ #8 ________ #9 ________ #10 _______ #11 _______ #12 _______ #13 _______ #14 _______ #15 _______ #16 _______ #17 _______ #18 _______ #19 _______ #20 _______ #1 ________ #2 ________ #3 ________ #4 ________ #5 ________ #6 ________ #7 ________ #8 ________ #9 ________ #10 _______ #11 _______ #12 _______ #13 _______ #14 _______ #15 _______ #16 _______ #17 _______ #18 _______ #19 _______ #20 _______ #1 ________ #2 ________ #3 ________ #4 ________ #5 ________ #6 ________ #7 ________ #8 ________ #9 ________ #10 _______ #11 _______ #12 _______ #13 _______ #14 _______ #15 _______ #16 _______ #17 _______ #18 _______ #19 _______ #20 _______ #1 ________ #2 ________ #3 ________ #4 ________ #5 ________ #6 ________ #7 ________ #8 ________ #9 ________ #10 _______ #11 _______ #12 _______ #13 _______ #14 _______ #15 _______ #16 _______ #17 _______ #18 _______ #19 _______ #20 _______ P1 ________ P2 ________ P3 ________ P4 ________ P5 ________ P6 ________ P7 ________ P1 ________ P2 ________ P3 ________ P4 ________ P5 ________ P6 ________ P7 ________ P1 ________ P2 ________ P3 ________ P4 ________ P5 ________ P6 ________ P7 ________ P1 ________ P2 ________ P3 ________ P4 ________ P5 ________ P6 ________ P7 ________ S1 ________ S2 ________ S3 ________ S4 ________ S5 ________ S6 ________ S7 ________ S8 ________ S9 ________ S10 _______ S11 _______ S12 _______ S13_______ S14 _______ S15 _______ S16 _______ S17 _______ S18 _______ S19 _______ S20 _______ S1 ________ S2 ________ S3 ________ S4 ________ S5 ________ S6 ________ S7 ________ S8 ________ S9 ________ S10 _______ S11 _______ S12 _______ S13_______ S14 _______ S15 _______ S16 _______ S17 _______ S18 _______ S19 _______ S20 _______ S1 ________ S2 ________ S3 ________ S4 ________ S5 ________ S6 ________ S7 ________ S8 ________ S9 ________ S10 _______ S11 _______ S12 _______ S13_______ S14 _______ S15 _______ S16 _______ S17 _______ S18 _______ S19 _______ S20 _______ S1 ________ S2 ________ S3 ________ S4 ________ S5 ________ S6 ________ S7 ________ S8 ________ S9 ________ S10 _______ S11 _______ S12 _______ S13_______ S14 _______ S15 _______ S16 _______ S17 _______ S18 _______ S19 _______ S20 _______ Assort.:______ Assort.:______ Assort.:______ Assort.:______
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