WATERBEAD BRACELETS - Do You Drink Enough Water?

Welcome to our mail in form
CHECK OR MONEY ORDER. If paying by check or money order, please complete and print out this form. Enclose it with your check or money order payable to: Waterbead Bracelets. Send both to:

Waterbead Bracelets
805 E. Townley Ave. Suite # 7
Phoenix, Arizona 85020

Please allow 2-3 weeks for payment clearance.
Do not send cash, traveler's checks

Title
First Name
Last Name
Street Address
Apt/Suite
City
State/Providence
ZIP Code
County
E-Mail Address
Phone Number

Order Information
All bracelets are $10 USD


Bracelet Colors	Quantity	Size

Emerald Green
Ocean Blue
Pink Flamingo
Sparkling Maroon
Safari

Shirts
T-Shrits are $15 USD
Stay Wet t-shirts

Total Braclet Quantity	Total T-Shirt Quantity	Total Cost

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