EmailMe Form - No more orders will be taken for 2013

Name *

First Last

Email

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Phone *

### - ### - ####

Alternate Phone

### - ### - ####

Date Item Needed for Pick-Up or Delivery *

MM / DD / YYYY

Homecoming Date *

MM / DD / YYYY

Choose Item *

School Name (Full) *

School Mascot *

School Colors *

Accent Colors - choose all that apply *

Name #1 on ribbon - Recipient *

Sports/Activities for Name #1

Jersey #(for name #1) if applicable

Class/Year for Name #1

Name #2 on ribbon - Sender (or other letters/words for second ribbon)

Sports/Activities for Name #2

Jersey # (for name #2) if applicable

Center of Mum Decoration

Items you would like included (no additional cost) - check all that apply

Additional Cost Items
Note: 2 of these items are included in the Max Mum,
cost is added to all other size mums

1 Bubble Ribbon for name $10 each

1 Braided Ribbon $10 each

1 Dressed Bear/Large Mascot $15 each

1 Charm Chain $7 each

1 Large sequin school letter $10 each

1 Large rhinestone school letter $10 each

The following will be included in all mums/garters:
homecoming/year, school letters, stars, trinket streamers, footballs, helmets, two name streamers. We have a unique selection of ribbon that will be included, please indicate if you like animal prints, polka dots, etc.

Please list any jersey # here and specify for what name/sport.

Please list any additional requests not listed above

All orders must be pre-paid before they are assembled. Please list an email that an invoice may be sent to you for payment. *

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