CLIPS FOR A CAUSE - ORDER FORM

CLIPS FOR A CAUSE - ORDER FORM
CONTACT DETAILS
Your Name*

First NameLast Name
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
PERSONALIZED PACIFIER CLIP
Name to be added to pacifier clip (Max 9 letters length)
Preferred bead colour

TurquoisePinkTanBlack & White
Preferred paracord colour

TanWhite
** If ordering multiple, include additional name(s) and preferred colour(s) in the Special Requests space below **
SPECIAL REQUESTS
SOLID COLOURED CLIP
Preferred bead colour:

WheatFawnEarth BrownSouthern PeachIvoryPearlCotton Candy PinkSoft PinkSassy PinkLilacAmethystHydrangeaRobins Egg BluePastel BlueBlue RaspberryLintSageTropical Teal
Paracord colour:

TanWhite
** If ordering multiple, include preferred colour(s) in the Special Requests space below **
SPECIAL REQUESTS
ORDER SUMMARY

Payments can be made through the payment methods provided below or by contacting The BeadHive & Co directly
Pickup or Delivery Options*

I'd like to pick up my pacifier clip(s)I live locally and would like my pacifier clip(s) to be deliveredI don't live locally and would like my pacifier clip(s) to be shipped for an additional $3.00
Payment Methods*

Cash on Pickup/DeliveryCredit/Debit on Pickup/DeliveryE-transfer (to: sales.tbhc@gmail.com)Contact The BeadHive & Co (Email: sales.tbhc@gmail.com)
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CONTACT DETAILS