Buckle/Pendant Purchase
* First Name
* Last Name
# of Buckles
Select one
1 ($175.00)
2 ($350.00)
3 ($525.00)
4 ($700.00)
5 ($875.00)
# of Pendants
Select one
1 ($115.00)
2 ($230.00)
3 ($345.00)
4 ($460.00)
5 ($575.00)
* Registrant Email Address
* Registrant Phone Number
* Shipping Needed?
Select one
Yes ($10.00)
No ($0.00)
Registrant Address
Registrant City
Registrant State
Registrant Zip Code
If possible, please pay via ACH/bank account in order to keep processing fees at a minimum. If credit/debit card is necessary, please consider selecting one of the options below to help cover fees.
Credit/Debit Card Processing Fees
Select one
Buckle ($5.00)
Pendant ($4.00)
Buckle & Pendant ($9.00)
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