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Star is Born Ordering Form

Please indicate the full name and birthdate to be engraved on the Star.  If you wish to hang the Star yourselves, please let us know.  Each Star is $30.00.

Would you like to hear more about our organization? *

Yes

Amount *

Your Employer Name

First Name *

Last Name *

Organization Name

Address

City *

Postal/Zip Code *

Country *

Province/State *

Phone

Email *

Name on Card *

Credit Card Number *

Payment Method *

Expiry Date *

CVV Code *

Amount

30.00

Processing Fees

Include processing fees for my transaction.

Verification Code

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_{1092 107 Street North Battleford SK Canada S9A 1Z1}

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