ORDER YOUR PERSONALIZED NELL NAME TAG WITH LOGO

FOR ONLY $10.00 each

                                            Order thru Pay Pal $10.00 each Regular Shipping Rates Apply

First Name: ___________________________ Last Name: ______________________________________

Shipping Address: ________________________________________________________

                                 ________________________________________________________

Please make one selection in each of the following rows:

_____ Safety Pin Back          _____ Clutch Back (double tie tack)    _____ Magnetic Back

_____ With “New England Lighthouse Lovers”            _____ Without “New England Lighthouse Lovers”

Please choose one of the following color schemes:

                                            _____ Light Blue with White Lettering

_____ Dark Blue with White Lettering                     _____ Dark Green with White Lettering

_____ Yellow with Blue Lettering                                 _____ Black with Yellow Lettering

ORDER YOUR PERSONALIZED NELL NAME TAG WITH LOGO

FOR ONLY $10.00 each

                                               Order thru Pay Pal $10.00 each Regular Shipping Rates Apply.

First Name: ____________________________ Last Name: ______________________________________

Shipping Address: ________________________________________________________

                                 ________________________________________________________

Please make one selection in each of the following rows:

_____ Safety Pin Back         _____ Clutch Back (double tie tack)      _____ Magnetic Back

_____ With “New England Lighthouse Lovers”            _____ Without “New England Lighthouse Lovers”

Please choose one of the following color schemes:

                                            _____ Light Blue with White Lettering

_____ Dark Blue with White Lettering                     _____ Dark Green with White Lettering

_____ Yellow with Blue Lettering                                 _____ Black with Yellow Lettering

If you would like your city & state under your name please specify here:

City: ____________________________ State: ______________                                     Rev. August 20, 2007