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PWSA WRIST-A-BOUTS Order Form
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Description |
Count |
| 8" Adult PWSA
WRIST-A-BOUTS |
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| 7" Child PWSA
WRIST-A-BOUTS |
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| at
$2.00 each |
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Shipping & Handling .50 up to 5, 5 and over free shipping |
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Total |
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Enclose a check or fill in credit card information below:
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Ship to:
Name
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Address
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City/State/Zip
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Telephone
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Credit Card Orders ê MasterCard êVisa
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Card #
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Exp Date:
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Name (As appears
on card)
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Signature
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Mail to:
Prader-Willi Syndrome Association (USA)
8588 Potter Park Drive, Suite 500
Sarasota, Florida 34238
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