"Wear A Helmet For Hailey" Wristband Order Form

 

Please print this order form, complete in full,
and mail to the below address along with your payment.

Thank you for supporting Helmets For Hailey!

Your Name ____________________________________

Mailing Address ________________________________

                         _________________________________

                        _________________________________

Phone Number _________________________________

(In Case of Questions)

Quantity of Child Size ________

Quantity of Adult Size ________

Total wristbands ___________    x $3.00/ea = $________

Wristbands are $3.00 each (No Shipping Fee).
Please make checks payable to "Helmets For Hailey".
Send this form along with your payment to:
 
Helmets For Hailey
c/o Holly Hills
1120 W. 19th Street
Casper, WY 82604

Your wristbands will be shipped out to you promptly!