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Please complete the information below. When finished, click Order and your order will be e-mailed to us.

If donating by credit card we will generate a PayPal invoice for the
donation amount plus shipping, which will be e-mailed to you.

If donating by check, contact us for shipping charge and make check payable and mail to:

Pink Cures
10811 Red Run Blvd, Ste. 210
Owings Mills, MD 21117

If you have any questions, click here to e-mail.

 

First Name

 

 

Last Name

 

 

Address

 

 

City

 

 

State

 

 

Zip

 

 

Phone

 

 

Email

 

 

How did you hear about us?

         

Choose your item(s). If ordering earrings, please specify regular or sterling.

 

 

Quantity  Regular    Sterling

 

 

Quantity  Regular    Sterling

 

 

Quantity   Regular    Sterling

 

 

Quantity   Regular    Sterling

Payment type:   Credit Card (PayPal)   Check

Enter Additional Items/Quantities or Comments:

 

 

 

Ship to:

 

 

Same address as above

Different address (enter below):