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Merchandise Order Form
2012 Bandaged Bear Schools Merchandise
To order your Bandaged Bear™ Appeal Schools Merchandise Boxes please complete the form below.
First name:
*
Last name:
*
School:
*
Your title:
*
Principal:
*
Email:
*
Phone:
*
Address:
*
Suburb:
*
State:
*
Postcode:
*
Delivery Contact:
Delivery Address:
*
Please note delivery cannot be made to PO Boxes
How did you hear about us?
Word of Mouth
Magazine Advertisement
Newspaper Advertisment
TV Program
TV Commercial
Purchased Merchandise
Hosted a Bandaged Bear Breakfast before?
Bandaged Bear Breakfast guest
Social Media
Hospital Staff
Hospital Promotion
Hosptial Activity
Volunteered Previously
Your Order
Merchandise Box Cost: $155
2012 box inlcudes:
( 5 Plush Bears 20 Clip on Bears 10 Notepads 10 Pens & 10 Hacky Sacks)
Number of Boxes:
1
2
3
4
5
6
7
8
9
10
Additional Merchandise ( Bags of 10):
Plush Bears ($70)
0
1
2
3
4
5
6
7
8
9
10
Clip on Bears ($30)
0
1
2
3
4
5
6
7
8
9
10
Pens ($20)
0
1
2
3
4
56
7
8
9
10
Notepads ($20)
0
1
2
3
4
5
6
7
8
9
10
Hacky Sacks ($20)
0
1
2
3
4
5
6
7
8
9
10
Security code:
*
Do not enter anything in this field:
*
indicates a required field
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Hold a Breakfast
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Meet Holly
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CHW
Contact
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