Name:     Phone #

Address:

City:      State: Select State ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA OREGON PENNSYLVANIA RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING

Zip: ______

E-mail Address:

How Did You Hear About Us?

Referred by: _

Representative Name: NONE JACLYN LISA

Wish List: Would you like a Brag Bag but want someone else to pay for it? If you would like for us to send your "Wish List" to your friends and family, this option is for you! Simply check the "Wish List" option under payment type, submit your completed order form, and we will send you more information. ___

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Bag Size: select one SMALL PURSE MEDIUM PURSE LARGE TOTE _______Bag Color: select one BLACK KHAKI

Bag Type: (Please choose only one.)

Brag Bag   # of Face(s) select one 1 2 3 4 5 6 7 8 9 10

Teacher Bag (khaki bag only)

Monogram (please type in full name):

Monogram Thread Color select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

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CHILD #1

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Abby Gracie Sophia Colby            Skin Color: select one peach light brown dark brown _______

Hair Color: select one blonde light brown dark brown red black _          Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown __-__Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #2 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophie Abby Colby            Skin Color: select one peach light brown dark brown _______

Hair Color: select one blonde light brown dark brown red black _          Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown __-__Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #3 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophia Abby Colby            Skin Color: select one peach light brown dark brown ____

Hair Color: select one blonde light brown dark brown red black ______-_Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown __-__Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #4 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophia Abby Colby            Skin Color: select one peach light brown dark brown ____

Hair Color: select one blonde light brown dark brown red black ______-_Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown _____Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #5 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophia Abby Colby            Skin Color: select one peach light brown dark brown ____

Hair Color: select one blonde light brown dark brown red black ______-_Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown _____Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #6 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophia Abby Colby            Skin Color: select one peach light brown dark brown ____

Hair Color: select one blonde light brown dark brown red black ______-_Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown _____Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #7 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophia Abby Colby            Skin Color: select one peach light brown dark brown ____

Hair Color: select one blonde light brown dark brown red black ______-_Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown _____Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #8 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophia Abby Colby            Skin Color: select one peach light brown dark brown ____

Hair Color: select one blonde light brown dark brown red black ______-_Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown _____Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #9 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophia Abby Colby            Skin Color: select one peach light brown dark brown ____

Hair Color: select one blonde light brown dark brown red black ______-_Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown _____Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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CHILD #10 (if needed)

Child’s Name:

Face Style Name: select one Madison Samantha Lindsey Sarah Baby Kathryn Lexi Caylan Ashton Reilly Kendall Francisco Clark Bryant Baby Alex Gracie Sophia Abby Colby            Skin Color: select one peach light brown dark brown ____

Hair Color: select one blonde light brown dark brown red black ______-_Bow Color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Hat Color (Francisco only):_ trim select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black _fill select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black

Eye Color: select one blue green light brown dark brown _____Name color: select one baby blue royal blue navy blue red crimson orange yellow/gold lime green kelly green baby pink hot pink lavendar medium purple dark purple white black (we recommend using the same color as the bow or hat)

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SHIPPING: $5 flat rate for first item $2.50 each additional item shipped to the same address.

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Payment Type: (Please check one only)

                         Check___ PayPal___ Money Order/Cash  
                         Gift Certificate         Gift Certificate Number
                         Wish List

Discount Coupon Code: (if applicable)

Gift Options: (Please Check One) None Gift Certificate    Gift tag included with bag
    **You can purchase a Gift Certificate or a Brag Bag as a gift,
       and we will send it for you!
    **If you choose this option, be sure to include the recipient's
      address and your message for the Gift tag in the
      Comments section.

Comments:(Gift Recipient Address, etc.)

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THANK YOU FOR YOUR ORDER

You will receive an email confirmation and instructions for payment within 48 hours.

 

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