Name: Etched in Memory – A Remembrance Service – Bismarck
Start: 2024-04-28T15:00:00-05:00
End: 2024-04-28T16:30:00-05:00
Location: Hospice of the Red River Valley (Bismarck)

Celebration Bears Order Form

Your Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Your Loved One's First and Last Name*
Number of Bears Requested (Up to two bears may be requested)*
Description of Fabric/Clothing Provided*
- Fabric/clothing must be delivered to Hospice of the Red River Valley. Arrangements will be made once we receive your application. - Please supply approximately ½ yard of usable fabric per bear. - Recommended fabrics include corduroy, fleece, flannel, sweatshirts, terry cloth and 100% cotton. - We do not recommend silk, thick robes, lace, denim or clothing with holes. - All remaining fabric and other items will be discarded unless you indicate otherwise in the next question on this form. Do not submit anything you are not willing to have discarded, including buttons, patches or embellishments.
Do You Want Leftover Materials Returned to You?*
- Yes
- No
Signature*

By entering your name here, you agree that the information submitted on this form is accurate.
Date*
MM slash DD slash YYYY
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Celebration Bears Order Form

Celebration Bears Order Form

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Etched in Memory – A Remembrance Service – Bismarck

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