NICK CARTER'S OCEAN CAMPAIGN SEASHELL FUNDRAISER ORDER FORM Click HERE to go back to previous page *NOTE:  if you don't have a printer, that's fine! Just make sure to include a note with all information* Please e-mail me at KhityKat@aol.com before sending payment. Also, if you'd like to pay via paypal, please e-mail your order. You will be e-mailed when I recieve your donation. Payment can be made out to Amanda Nelson OR Just Within Reach. If you are including money to help pay for shipping costs, or if the item is being gift wrapped, please make checks/money orders out to Amanda Nelson. Please send payment to the following address: Amanda Nelson 17407 Ironwood St. Arlington, WA 98223 Thanks for helping GBB and NCOC!

Your Name: _________________________________________________________________________________ Is this a gift (circle one):      YES          NO If this order IS a gift, would you like it giftwrapped (extra $1):           YES                NO Your Address: _______________________________________________________________________________                      _______________________________________________________________________________                           _______________________________________________________________________________                      _______________________________________________________________________________ Your E-Mail: ________________________________________________________________________________ Number of Large Seashells Ordered  __________________        (at $2 each, or 3 for $5 - LIMITED TIME) Number of Medium Seashells Ordered __________________         (at $1.50 each, or 4 for $5) Number of Small Seashell Sets Ordered ___________________          (at $4 each, or 2 sets for $6) What colors would you like your shells (be specific): ________________________________________________                                                                             ________________________________________________                                                                             ________________________________________________                                                                             ________________________________________________ What would you like written on the back of the shells: ______________________________________________      (please state which statement goes on which shell)                                                                              _______________________________________________                                                                              _______________________________________________                                                                              _______________________________________________                                                                              _______________________________________________                                                                              _______________________________________________ Would you like your name in our I Support BSB Scrapbook: __________________________________________                      Total Cost for Shells: _________________________ Shipping (optional): __________________________ Giftwrap (optional): _________________________ Total Donation: _____________________________________ Payment Made By (circle one):        Cash             Check            Money Order               Paypal