Order Form

Please provide the following contact information. The items marked with an "*" are required. This is to ensure we can contact you if there are questions with your order and for use as a "customer id" using the phone number and/or e-mail address.

First Name	*
Last Name	*
Billing Address	*
Address (cont.)	*
City	*
State/Province	*
Zip/Postal Code	*
Country
Phone Number	*
E-mail	*

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Products

Necklace

Earrings

Magnets

Fundraisers

Contact Information

Other Links

Order Here

When you have selected all the items you wish to purchase, print out this page for your records before clicking submit. Make sure that the number of each item matches the number you order on Paypal so there will not be any problems with your order.

Thank you!

Please mark the quantities for each item below. Don't forget to make sure to send your digital images for the items you mark below via orders@bleeenterprises.com. In the e-mail, indicate which images go with each item marked below.

QTY	DESCRIPTION QTY	DESCRIPTION	QTY	DESCRIPTION
	Gold Necklace	Gold Earrings		Gold Magnet
	White Necklace	White Earrings		White Magnet
	Black Necklace	Black Earrings		Black Magnet
	Yellow Necklace	Yellow Earrings		Yellow Magnet
	Orange Necklace	Orange Earrings		Orange Magnet
	Green Necklace	Green Earrings		Green Magnet
	Red Necklace	Red Earrings		Red Magnet
	Blue Necklace	Blue Earrings		Blue Magnet
	Maroon Necklace	Maroon Earrings		Maroon Magnet

	SHIPPING ADDRESS
Shipping Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

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