Baby Booty Order Form

Name_____________________________________

Address___________________________________

Telephone (_______) _______ -____________

Email__________________________________

Item # or Description	Quantity	Cost per Item	Total
________________________	_________	$________	$_________
________________________	_________	$________	$_________
________________________	_________	$________	$_________
________________________	_________	$________	$_________
________________________	_________	$________	$_________

14 K NAME BRACELET
___ Medium sized	_________	$________	$_________
___ Lighter sized	_________	$________	$_________
___ Full cut diamonds	_________	$________	$_________

	SUBTOTAL		$_________
	5% MD TAX		$_________
	SHIPPING*		$_________
	TOTAL		$_________
Complete the 28/32 squares below as you would like your customized bracelet to display your special name(s).

*** Call (301) 530-0010** or send an email for shipping rates and discounts. All shipping is by UPS and is an additional charge. Then print and mail completed form with payment to: Baby Booty, 10904 Roundtable Court, Rockville, MD 20852.
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