Please complete this form so I can provide you with the exact MedicAlert bracelet that you have in mind!
Please note that all bracelets start at 15$ For 1 allergy or medical condition. And that additional allergies or medical conditions can be added for 5$ each. (up to a maximum of 4 per Item)
Once this form is received, Please ensure you send payment by E-Transfer to email@example.com if you have not already paid thru PayPal via the website.
Please note, Only Orders for which payment have been received will be processed and confirmed via email confirmation. Please ensure when you place your order, you pay thru the website or by E-transfer after submitting this form.
Rayn Bands is located in Downtown, Ottawa.
Thank you for wanting to support my project!& Remember that 10% of all sales go to charity every month!