Order Form_trade show

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
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