DSAH Angels

~ DSAH Angel Order Form ~

Bracelets (3 Sizes)

Enter the desired number for each item.

7 1/2" Blue Bracelets:

7 1/2" Pink Bracelets:

9" Blue Bracelets:

9" Pink Bracelets:

10" Blue Bracelets:

10" Pink Bracelets:

Charms

Enter the desired number for each item.

Blue Cell Phone Charm:

Pink Cell Phone Charm:

Earrings

Enter the desired number for each item.

Blue Earrings:

Pink Earrings:

Enter the desired number for each item.

Blue Bookmarker:

Pink Bookmarker:

Please provide the following information:

Full name:

* required

Street:

* required

City, State, Zip Code:

* required

Phone Number:

* required

Email:

* required

To order Angel Items, fill out this form, click on the Print This button to print out your order, then click on the Submit button (this will send an email order). Mail printed order and your payment (check or money order only, payable to DSAH) to:

DSAH Angels
C/O Alejandra Fredenburg
12206 Paddock Way
Houston,TX 77065

NOTE: Please add shipping costs to your order as follows:

$1.50 for 1 to 10 items
$3.00 for 11 to 20 items
$4.50 for 21 to 30 items