JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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
* Indicates required question
What type of bracelet would you like?
*
Embroidery floss
Colorful Rubber-band
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
Your answer
Do you live within the DC area? If not, please contact us at forcesofnaturekids@gmail.com
Yes
No
Clear selection
What is your name and address?
(We will keep your information private)
*
Your answer
If you chose rainbow loom, which type would you like?
V-Way
Linked Type
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!’
Your answer
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.
Your answer
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
Forms