You may fill out this order form by typing directly onto the screen then printing, or you may print this form out and fill out the contents by hand.

* Only one name per order form.

Style A: Magnet Back (for thin clothing) How Many?
Style B: Pin Back (for heavy clothing) How Many?
Style C: Pocket / Purse How Many?

Enter Your Details: (Make sure you enter your name as you want it displayed on your Name Tag)

First Name:
Middle Initial:
Last Name:
Title: (Optional)
Company:
Phone:
Address 1:
Address 2:
City:
State:
Zip:
Amount Enclosed:
Comments:

* Order 3 of any style: $28.00
* Order 2 of any style: $22.50
* Order 2 of any style: $12.50

Sub-Total:
WA Sales Tax 9.5%
Shipping & Handling $2.50
Total:

Mail this Order Form to:

Just For You
P.O. Box 184
Hansville, WA 98340
Phone: (360) 638-1141 Fax: (360) 638-1141

* PLEASE INCLUDE YOUR BUSINESS CARD WITH YOUR CHECK *