Wisconsin Advocates for Families of Missing People, Inc.

P.O. Box 106 Waupun, WI 53963

920-324-2042 www.wafmp.org

WAFMP WRISTBAND ORDER FORM

SHIPPING INFO:

Name: ___________________________________

Address: ___________________________________________ Phone: __________________

City: _______________________ State: __________ Zip: __________

Purchase in Memory/Honor of: _______________________________________

QTY	DESCRIPTION	UNIT PRICE	TOTAL
		$5.00

Subtotal:	$
Shipping (see chart below):	$
Total:	$

SHIPPING CHART

$2.00	Your Comments: $.01-19.99
$5.00	$20.00-49.99
$10.00	$50.00-99.99
$15.00	$100.00-199.99
$20.00	$200.00+

Thank you for your purchase of our wristband to help support our cause!

**Your order will not ship until your check has cleared.