Flock a Friend Work Order
Eagle River Panthers Cheer Fundraiser
Your Contact Information
Your Name
*
First Name
Last Name
Your E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address to be Flock
You are responsible for any back lash from your victim or any pay back of a new flocking :)
Name of Victim (I mean friend)
*
First Name
Last Name
Their Address (Location to release the Flock!)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone where you would like photo sent *if you purchased photo evidence only)
-
Area Code
Phone Number
Do you wish to remain anonymous?
*
Yes
No
My Products
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Flock a Friend
$15.00
$
15.00
Quantity
0
1
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10
Item subtotal:
$0.00
$
0.00
Flock a Friend (with photo evidence sent to # of your choice)
$20.00
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Insurance (protect your home from future flocking)
$30.00
$
30.00
Total
$0.00
$
0.00
Pay with Credit Card
Submit
Should be Empty: