ORDER FORM FOR IMF KEYCHAINS AND EARRINGS
Keychain with All Swarovski Crystals
(will come with the initials IMF, unless you specify other initials below).
Metal $40, includes shipping
Sterling Silver $75, includes shipping
Initials in Order: ___ ___ ___
Choose a color:
Red
Orange
Fiery Orange
Pastel Yellow
Yellow
Pastel Green
Deep Green
Pastel Blue
Deep Blue
Pastel Pink
Deep Pink
Lavender
Purple
Crystal Clear
Multi-Colored Keychain
(will come with the initials IMF, unless you specify other initials below).
Metal $30, includes shipping
Sterling Silver $65, includes shipping
Initials in Order: ___ ___ ___
Single-Color Keychain
(will come with the initials IMF, unless you specify other initials below).
Metal $30, includes shipping
Sterling Silver $65, includes shipping
Initials in Order: ___ ___ ___
Choose primary color:
red
orange
yellow
green
blue
purple
black. (Black is shown.)
___________________________________________________________________________________________________________
Sterling Earrings with Swarovski Crystals $40
Choose a color:
Red
Orange
Fiery Orange
Pastel Yellow
Yellow
Pastel Green
Deep Green
Pastel Blue
Deep Blue
Pastel Pink
Deep Pink
Lavender
Purple
Crystal Clear
NAME: _________________________________________________________________________________
ADDRESS: ______________________________________________________________________________
CITY: _______________________________ STATE: ______ ZIP: ________ COUNTRY: _______________
TELEPHONE: _________________________EMAIL: ____________________________________________
PAYMENT INFORMATION:
If paying by check, please make it out to the International Myeloma Foundation.
If paying by credit card, please fill out the following information. The charge for the keychains will appear on your credit
card statement as "The International Myeloma Foundation."
Credit Card Type: ___________________________________ Expiration Date: ______/______ (ex. 04/09)
Full Name on Credit Card: ________________________________________________________________
Credit Card Number: _____________________________________________________________________
3-digit Code on the back of the card: ___________
Mail order form to: A Touch of Whimsey, 4224 Waialae Avenue, #5-306, Honolulu, Hawaii 96816
Or email to dcpajm@hotmail.com
Feel free to email Pam at A Touch of Whimsey (see email above) with any questions or special requests.
Thank you very much for your generous support of the International Myeloma Foundation.

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