Lou Wilkinson HD Convention Scholarship Fund
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2004 HDSA National Convention

Yes, I'd Like To Order Scrunchies!

DESIGNS
Following are the designs available.  Please indicate your design choice
and quantity desired in the box below.
Seasonal
Christmas Ornaments
Poinsettia
Candy Cane
Gingerbread Men
St. Patrick's Day
Valentine XXOO
Valentine  Hearts
Everday Wear
Auqua Gecko's
Pink With Flowers
Veggies & Ladybugs
Royal Blue With Fish
 Patriotic
Aqua & White Flag
Navy with Flags
Navy With White Flags
White With US Flags
White With RW&B Stars
White With Small USA
White W/USA Ribbons
White With Large USA
 
Sports
Baltimore Ravens
Colorado Rockies
Denver Bronco's
Green Bay Packers
Los Angeles Dodgers
San Francisco Giants 
Seattle Seahawks
St. Louis Rams 

Date:

Name:

Phone (Optional):

Address:

City:

State: Zip Code

Email Address:

TOTAL ORDER
The total quantity is  Scrunchies at a price of $3.00 each which comes
to a grand total order of  that includes Shipping & Handling.

My check will be mailed by (Date)

Design Orders or Custom Made Order Request

Enter the quantityand design description for your above order. Or,
if you are interested in having a custom made scrunchy in your
team colors, etc. please include a description of scrunchie you
want customer made, below, for a quote from Marie:

My check or money order, payable to "Marie Nemec", will be mailed to:

Marie Nemec c/o HDSF
3087 - A 1/2 Road
Grand Junction, CO 81503-9678

.