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Fill out this form if you wish to purchase a keychain
Fill out this google form to purchase a keychain or keychains. Keychains will be mailed once your money is received. Don’t forget to include your full mailing address.
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* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
How many keychains do you wish to purchase?
*
Your answer
What is your address (to ship the keychain(s) to)?
*
Your answer
How will you be paying for your keychain(s)?
*
Note: Please send the money to let me know you are purchasing a keychain(s). Once your money has been received, your keychain(s) will be mailed to the address provided.
PayPal (send $5 per keychain to PayPal.Me/lanephil)
Interac E-Transfer (send $5 per keychain to
lane.phillips@me.com
)
How did you hear about my initiative?
Your answer
Will you share my initiative with other people?
Yes
No
Maybe
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A copy of your responses will be emailed to the address you provided.
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