|
Melanie Erickson |
Free Shipping & Handling
For Easy Ordering Print and Mail or Fax this form:
(To copy this order form for email, just highlight the form with your mouse, go to edit at the top
of your browser, click it, then click on copy, open the email window, put the mouse pointer in
the body of the email and go back to edit and hit paste.)
| Qty. | Item # | Description | Stone Choice | Price Ea. | Sub Total |
|---|---|---|---|---|---|
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| _____ | __________ | ________________________ | ___________ | ________ | ________ |
| Sub Total: $__________ |
| SD State Residents add 7% tax: $__________ |
| Total Enclosed: $__________ |
Payment Options: Check_____Money Order_____ MasterCard ____ Visa ____ |
| Acct. # _________________________________ Exp. Date: ______ |
| Name on the Card: _______________________________________ |
| Signature: ______________________________________________ |
| Please allow 1-2 weeks for delivery |
Thank Your For Your Order
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