Eco Looms
Fill out this form to have a customized bracelet delivered within a few weeks
Please enter your email address below so we can let you know the status of your bracelet.
Sign in to Google to save your progress. Learn more
What type of bracelet would you like? *
How much would you like to donate, and what animal would you like to donate to?  *
Donate at least $5.00 to an endangered species
Do you live within the DC area? If not, please contact us at forcesofnaturekids@gmail.com
Clear selection
What is your name and address?
(We will keep your information private)
*
If you chose rainbow loom, which type would you like?
Clear selection
What colors would you like? (Embroidery Floss) *
If you chose Rainbow Looms instead, answer N/A. If you would like mystery colors, answer ‘Surprise Me!’
What colors what you like? (Rainbow Loom)
Limited Colors - Read Description 
*
If you chose embroidery floss, answer N/A. 

Colors; Cyan, Red, Purple-Pink, Pink, Yellow, White, Gold, and Green.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report