Gift Shop Order Form
SAMANTHA LORENE CALAFIORE MEMORIAL FUND, INC.

Thank you very much for your support.
When ordering Gift Shop items, please feel free to either contact us
directly or use the following form. Prior to shipment, we will contact you
with a total that includes a shipping cost based on the weight of your
total order. Once the total is approved, your items will ship.
Your name:*
Street Address:*
City, State, & Zip Code:*
Email address:*
Phone number:
* This information is required.
Enter a quantity for each item you are ordering.
Bears:
Sanitizers:
Pens:
Pins:
Pencils:
8"  Magnets:
Notepads:
4"  Magnets:
Wristbands:
Colors: Purple or Purple/Yellow comb
Sizes:   Toddler (5 1/2"), Youth (7"), Adult (8")
When ordering bags, enter a quantity and your
color selections for each type of bag ordered.
Note: When ordering a large black tote bag, please specify
Ribbon or Butterfly logo along with your color choice.
Lunch Bags:
Large Totes:
Small Totes:
Additional comments