The Blended Mama's Refill Club

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This year is all about simplicity and assembling the things that we need the most in order to make the most of what we have. So that being said, I setting up a monthly club. This is a Refill Club only. You may get up to three refills at the bundle pricing. Please fill out the form and I will follow up with an invoice for the cost of the inserts. Payments must be received by the 1st or 15th of the month in order to be shipped out by the 20th of the current month or 5th of the upcoming month.

Small Inserts - $9; Medium Inserts - $10; XL Inserts - $11 (includes tax/shipping)

To browse inserts, go to tulaxii.com/chaoscoordinator

Email *

Date you are completing this form. *

Mailing Address; complete with street, city, state and zip *

Name *

Insert Size #1

A6 Small*

B6 Medium (available in all styles)

XL^

Clear selection

Insert Style #1 What design are you wanting to receive on your insert cover?

Insert Name #1 Must list the name as shown on the website.

Insert Size #2

A6 Small*

B6 Medium (comes in all insert styles)

XL^

Clear selection

Insert Style #2 What design are you wanting to receive on your insert cover?

Insert Name #2 Must list the name of the insert as shown on the website

Insert Size #3

A6 Small*

B6 Medium (comes in all styles)

XL^

Clear selection

Insert Style #3 What design are you wanting to receive on your insert cover?

Insert Name #3 Must list the name as shown on the website

PenGems Pen Refills: List the color and how many (Black or Blue)

Submit

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