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Bereaved
Parents of |
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Printable Order form
| Name: | |||
| Address: | |||
| State, Zip | |||
| Phone no: | AC ( ) | ||
| Month: | _______ @ $6.00 each: | $ | |
| Month: | _______ @ $6.00 each: | $ | |
| Month: | _______ @ $6.00 each: | $ | |
| Month: | _______ @ $6.00 each: | $ | |
| Month: | 1 FREE angel (with purchase of three) |
$0.00 | |
| Total: | $ | ||
Fill out and mail to:
Bereaved Parents of Southwest Florida
c/o LCSI
P.O. Box 61595
Fort Myers, FL 33906-1595
Don't forget to include your shipping address and payment with your order. Please make your check or money order payable to: Bereaved Parents of Southwest Florida.
You can also pay by credit card, using Paypal. Please contact betsy2358@hotmail.com for more information.
Please allow two weeks for delivery. If you have any questions about your order, please e-mail: betsy2358@hotmail.com.
Thank you for your order! All proceeds benefit the bereaved Parents of Southwest Florida.
Copyright
© 2002, Bereaved Parents of SWF. All rights reserved.
For comments or questions about this web site,
please contact the Web master.
This page was last
updated on 01/13/03.
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