Crown Bracelet Order Form

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Please complete this form to order a VanBrock custom-made crown charm bracelet for $270.
This silver bracelet measures 7” long with a 6.5” jump ring. If needed, you can attach it to your wrist shorter.
Bracelets will be available for members to pick-up at BOTAR meetings or available for delivery.
Please contact Victoria Lynch at vluhrs@gmail.com if you have a question.

First Name *

Last Name *

Street Address or PO Box *

City *

State *

ZIP code *

Address

Email *

Phone *

How many bracelets would you like to order? *

bracelet(s)

$270 each

Please note that a small credit card surcharge will be added to the total amount to cover our processing fees.