Printable Awareness Store Order Form 


Name:_____________________________

Address: _______________________________

City/State/Zip: __________________________

Telephone: _____________________________

Email: _________________________________

 


Regular Mail:  Send check or money order to UBPN, Inc., 1610 Kent Street, Kent, OH  44240

Fax/Online Payment:  Fax form to UBPN, Inc. at 1-866-877-7004. Pay on-line using www.paypal.com. Paypal your payment to donation@ubpn.org.  In the description area write Awareness Store.


Outreach Awareness Special Issue 2002 - bulk purchases

One set of 5 Outreach issues = $10
Priority Mail (U.S.) postage = $3.85


 

# of sets: _____ X $13.85 = $__________

 


Jewelry Ribbon Pin

The Awareness Jewelry Ribbon Pin is made of die-struck pewter with nickel plating for a shiny silver appearance. The pin is 1 1/8” in height, and a small silver bell is attached. Five “Handing Out Awareness” business cards are included with each pin ordered. $5 per pin includes shipping to the continental U.S.

 







# of pins: _____ X $5.00 = $__________

 


Handsewn Ribbon Pins

Sold in sets of 20 for $10 per set. Postage within the U.S. is included. No additional preparation or sewing is necessary. They are ready-to-wear. 

 


# of sets: _____ X $10.00 = $__________

     
TOTAL               


$___________