Dream Bracelet Order Form
		Print out this form and specify which Dream Bracelet you'd like and quantities. Please make checks payable to : Hopes & Dreams Foundation Mail to: Hopes & Dreams Foundation 517 Cedarbrook Rd Southampton, PA 18966
				Dream Bracelet with Colored Letters
	One size fits all Quantity:_____________ x  $5.00 each   TOTAL:_$___________
					Total + $2.00 shipping $___________

$5.00 each

Your Name:____________________________________________________

Address:_______________________________________________________

City:_______________________________ State:__________ Zip__________

Phone:____________________________

Email:_____________________________________________

(1- 3 bracelets)

add .50 for each additional bracelet