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Merchandise Order Form

To order your Bandaged Bear Appeal Merchandise please complete the form below. Please note all merchandise must be paid for upfront. Unfortunately no refunds will be available for unsold merchandise.

Contact Details
Title:
First Name:
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Last Name:
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Company
Email Address:
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Phone:
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Mobile
Address:
City:
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Post Code:
Delivery Contact:
Delivery Address:
Please note delivery cannot be made to PO Boxes
How did you hear about us?
Your Order
Merchandise Box Cost: $150
2012 box includes ( 10 Plush Bears 10 Pins and 10 Clip on Bears)
Number of boxes:
Additional Merchandise ( Bags of 10)
Plush Bears ($70):
Pins ($50):
Clip on Bears ($30)
Security code:
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2012 Merchandise