<<Disclaimer: Verify this information before applying it to your situation.>>

GLUTEN FREE & SILLY YAK Bracelets

Order Form





How to purchase:  Via Mail Order (Email orders available if you have PayPal and want to pay via credit card)

Colors:  Hunter/Forest Green (for GLUTEN FREE Bracelet) or Purple for (SILLY YAK bracelet)

Debossed with the Imprint:  GLUTEN FREE or SILLY YAK

Width:  1/2" wide

Size:  See sizing on order form.

Material:  Silicone

Minimum Order:  One (or more)

Cost:  $3 each

Shipping:  Shipping is FREE in the continental U.S.  Approximate shipping time is 1-3 weeks, depending on what I have in stock when I receive your paid order.

Bulk Orders:  If you would like to order 20+ bracelets, please contact me via email and I can calculate shipping for you

International Orders:  Contact me at [log in to unmask]

Payment:  Check or Money Order Only.  If you have a PayPal account, you can make payment with your credit card.  Please contact me via email at [log in to unmask] if this is the case.   Please note:  No orders will be shipped prior to receipt of payment.

Create Awareness:  Please feel free to forward this order form or email to your local support group members and to others who may follow a gluten-free diet for other medical reasons.  You can also print extra copies of this order form and distribute at your meetings

What do they look like? If you would like to see an idea of what the bracelets will look like... you can view a mock sample below.  Please note that the "GLUTEN FREE" bracelets will be hunter/forest green and the "SILLY YAK" bracelets will be purple.



Send Orders to:

Melonie Katz

17745 Avenel Lane

Dumfries, VA 22026

[log in to unmask]



Order form:

_____ green GLUTEN FREE bracelet (7 3/8" around) @ $3.00 each, includes free shipping

_____ purple SILLY YAK bracelet (7 3/8" around) @ $3.00 each, includes free shipping

_____ Total Number of bracelets ordered

_____ Total amount of payment



Make checks/money orders payable to Melonie Katz

Make sure to enclose your name, mailing address, phone number and email address.








~Melonie (R.O.C.K. leader for NoVa/Metro DC Chapter)  & Owner of SillyYaks (www.groups.yahoo.com/group/SillyYaks)
"Do not follow where the path may lead.  Go instead where there is no path and leave a trail." quote from Ralph Waldo Emerson





















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