Sarah Scantlin
"One Day At A Time"
Bracelet Order Form
Please Print
Order Date:____/____/____
Your Name___________________________________________________
Mailing Address______________________________
City_________________________  State___________  Zip_____________
Bracelet Color	Quantity	Total Per Color @ $2 each
Hot Pink
Royal Blue
Transparent
Sub-Total
Shipping = $.10 per bracelet, $.50 minimum
Total
Mail order form and check, made out to: Nickerson High School Class of 1984
Faith Tucker
155 S. Socora
Wichita, KS 67209
Your order will be shipped within 3 weeks.
Thank you!