Pre-Order Request Form

Nicolas Samuels Memorial

We are honored to help create keepsakes in memory of Nicolas Samuels. This order form is for shirts, hats & tumblers designed to celebrate Nick's life and to keep his memory alive. We are grateful to Whitney and Hayleigh for allowing us the privilege of honoring Nick in this way, all proceeds will be donated to Hayleigh as she continues to navigate life following this tremendous loss.
Full Name

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Email Address
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Phone Number
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How would you like to receive your order?
Shipping Notice: If you select shipping at checkout, please be sure to add the Shipping Fee to your cart. Orders without the shipping fee will be marked for local pickup!
Shipping Address

Street Address

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