| *Email: | |
| *Phone number: (and best time to call) | |
| *Organization name: (Church, School, Court, etc) |
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| *Mailing address: | City: State: Choose a state: or Province: (Leave blank in US) Country: Other Country not listed above or leave blank: *Zip or Mail Code: |
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When do you plan to wear/use the items? (Choose one) |
not sure immediately within a month within a year in time for my event on: |