AD: Silly Yak AND Gluten Free Bracelets on sale for the month of December

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$2.50 each for the month of December only! GLUTEN FREE & SILLY YAK Bracelets Order Form How to purchase: Via Mail Order (Email orders available if you have PayPal and want to pay via credit card) Colors: Hunter/Forest Green (for GLUTEN FREE Bracelet) or Purple for (SILLY YAK bracelet) Debossed with the Imprint: GLUTEN FREE or SILLY YAK Width: 1/2" wide Size: See sizing on order form. Material: Silicone Minimum Order: One (or more) Cost: $ 2.50 each Shipping: Shipping is FREE in the continental U.S. Approximate shipping time is 1-3 weeks, depending on what I have in stock when I receive your paid order. Bulk Orders: If you would like to order 20+ bracelets, please contact me via email and I can calculate shipping for you International Orders: Contact me at OneSillyYak@.... Payment: Check or Money Order Only. If you have a PayPal account, you can make payment with your credit card. Please contact me via email at OneSillyYak@... if this is the case. Please note: No orders will be shipped prior to receipt of

payment. Create Awareness: Please feel free to forward this order form or email to your local support group members and to others who may follow a gluten-free diet for other medical reasons. You can also print extra copies of this order form and distribute at your meetings What do they look like? If you would like to see an idea of what the bracelets will look like... you can view a mock sample below. Please note that the "GLUTEN FREE" bracelets will be hunter/forest green and the "SILLY YAK" bracelets will be purple. Send Orders to: Melonie Katz 17745 Avenel Lane Dumfries, VA 22026 OneSillyYak@... One Size (7 3/8” around) GLUTEN FREE bracelet One Size (7 3/8” around) SILLY YAK bracelet Total Number of Bracelets Total Amount Sent (payable to Melonie Katz) Quantity Ordered Your Name (please print) Your Complete Mailing Address In Case I Need to Contact You…… Your Phone: Your E-mail:

~Melonie (R.O.C.K. leader for NoVa/Metro DC Chapter) & Owner of SillyYaks (www.groups.yahoo.com/group/SillyYaks)

"Do not follow where the path may lead. Go instead where there is no path and leave a trail." quote from Ralph Waldo Emerson__________________________________________________