ACHE Foundation

You may use this form to place an order for "STRONGER NOW" Bracelets, make a donation, or request more information. Please print and mail this form to the address below.


I would like to order "STRONGER NOW" Bracelets (Enter quantity per size below).
I would like to make a donation.
I am interested in more information or ACHE Foundation speaking at my organization.

Payment must accompany orders. Allow up to 2 weeks for delivery.
Bracelets are $2.50 each (includes shipping and handling).

 Quantity of "STRONGER NOW" Bracelets (Large)
(8 3/8": Fits most adults)
$
 Quantity of "STRONGER NOW" Bracelets (Small)
(7 3/8": Fits most kids/teenagers & small-framed adults)
$
   
   
Donation Amount $
   
Total: $

Name:
Organization:
Address 1:
Address 2:
City:
State:
Zip Code:
Phone:
Email:


Please make check or money order payable to ACHE Foundation.

ACHE Foundation
P.O. Box 5923
La Quinta, CA 92248

www.achefoundation.org