Adult Bracelet Enter the number you are ordering   $24.00 per bracelet.
  
Bracelet measures Size 2" x 1/2" (5 cm x 2.5 cm) ( 4 cm x 2.5 cm )
Text size on all tags approx.= .2 cm high
Emblem size on all tags= .8 cm wide x 1 cm high.
Emergency Medical I.D. Wallet Card Included with order.
You have the option of adding Red enamel color to the TEXT and EMBLEM
Indicate by checking one of the boxes below:
   Clear Color  
ADD RED COLOR  (CLEAR COLOR recommended)
Measure your wrist as instructed below:
Measure the wrist with a string allowing the string to fit exactly like you want the bracelet to fit.
Measure the string with a tape measure or ruler and submit that measurement to us below.
NOTE: We DO NOT ADD to the measurement that you submit to us.

This will be the total length of your bracelet, including bracelet chain and bracelet tag from tip to tip.
Enter your Bracelet total length measurement in inches here.      inches.
Front Side  (Please print clearly)

Note: Number in parentheses( ) indicates MAXIMUM # of letters & spaces per line
Enter Front Text below if you want to include information on the front side of bracelet.

Front Side Line 1: (19)
Front Side Line 2: (19)
Front Side Line 3: (19)
Front Side Line 4: (19)

Back Side   (Please print clearly)

Complete form below if you want to include information on the back side.
Note: Number in parentheses( ) indicates MAXIMUM # of letters & spaces per line

Back Side Line 1: (24)
Back Side Line 2: (24)
Back Side Line 3: (24)
Back Side Line 4: (24)
Back Side Line 5: (24)
Mail completed form along with a U.S. Money Order Only payable to MedIDs.com for $24.00  (INCLUDES S&H Charge) USPS Standard Delivery to the address below payable "MedIDs.com" to:
MedIDs.com
3103 Cypress St., Suite 3, PMB #159
West Monroe, Louisiana 71291-5270
Fax Order with Credit Card Information to: (866) 908-8843

Mail Order To: (Please print clearly)

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