Please indicate the text and picture for your Magnetic Chips
For Example: Names & Date
Side 1
Graphic Choice:
Please Choose the Color of Chips & Quantities:
(250 Chips Total)

*First Name:
*Last Name:
*Address:
*State:
*Zip:
*Day Time Phone:
Evening Phone:
*E-mail Address:
*City:
*Required Fields
Fill in the boxes below with desired custom text.
(40 characters MAX).  Keep in mind the more letters you use, the smaller the text.  So consider this when choosing your custom text.  Less than 40 is ideal including spaces.
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Order Form
Click the SUBMIT FORM Button to continue.  This will not complete your order.  You will continue on to payment in the next step.