Johnny No-Name Foundation Fundraiser Order Form

Your Name: _________________________________________________________________________________ Is this a gift (circle one):      YES          NO If this order IS a gift, would you like it giftwrapped (extra $1):           YES                NO Your Address: _______________________________________________________________________________                      _______________________________________________________________________________                           _______________________________________________________________________________                      _______________________________________________________________________________ Your E-Mail: ________________________________________________________________________________ Number of Large Rocks Ordered  __________________        (at $6 each) Number of Medium Rocks Ordered __________________         (at $4 each) Number of Small Rocks Ordered ___________________          (at $2 each) What colors would you like your rocks (be specific): ________________________________________________                                                                             ________________________________________________                                                                             ________________________________________________                                                                             ________________________________________________ Would you like anything specific written on the rocks? : ______________________________________________      (please state which statement goes on which rock)                                                                              _______________________________________________                                                                              _______________________________________________                                                                              _______________________________________________                                                                              _______________________________________________                                                                              _______________________________________________ Other Instructions: ____________________________________________________________________________                             ___________________________________________________________________________________________ Total Cost for Rocks: _________________________ Shipping (optional): __________________________ Giftwrap (optional): _________________________ Total Donation: _____________________________________ Payment Made By (circle one):        Cash             Check            Money Order               Paypal

Click HERE to go back to previous page *NOTE:  if you don't have a printer, that's fine! Just make sure to include a note with all information* Please e-mail me at KhityKat@aol.com before sending payment. Also, if you'd like to pay via paypal, please e-mail your order. You will be e-mailed when I recieve your donation. Payment can be made out to Amanda Nelson OR JNN Foundation. If you are including money to help pay for shipping costs, or if the item is being gift wrapped, please make checks/money orders out to Amanda Nelson. Please send payment to the following address: Amanda Nelson 17407 Ironwood St. Arlington, WA 98223 Thanks for helping GBB and The JNN Foundation!

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