Click here to print this order form, which you will use to record your selections for your own Memory Bracelet.  Then click on the back button to return to Step 1.

Step 1
Color style (choose one):   Lake   Forest   Garden   Night Sky
 
Step 2
Charm 1 _____________     Charm 2 _____________     Charm 3 _____________
Charm 4 _____________     Charm 5 _____________     Want more? Click here for details.

Step 3
Clasp (choose one):   Flower   Penny   Moon/Star   Sunflower
Size (choose one):   Small, 7.25"   Medium, 7.5"   Large, 7.75"   Other: ______

Step 4
Complete this order form and you're ready to order!  Need help?  Call us at (715) 779-5262.

Name __________________________________________________________


Mailing address __________________________________________________


Daytime telephone _______________  Email address ____________________
 

If you want to fax your order, please...
1.  Fax it to us at (715) 779-5262
2.  We'll call you to confirm the order once we receive it and for payment.

If you want to mail us your order, please...
1.  Mail it to us at P.O. Box 1412, Bayfield, WI 54814
2.  We'll call you to confirm your order once we receive it and for payment.

Thank you for your order.

 

© 2000 Water Music Jewelry, Incorporated