Order form
Print this form if you prefer to mail in your order
Name:
Shipping Address:
Apartment number:
City, State, Zip Code:
Phone :
E-Mail:
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Item # |
Quantity |
Item Description (Earrings normally have french earwires. Please note if you want clip-ons or posts.) |
Price each |
Price |
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| Shipping | charges | Mail to: Art in Heaven | Sub Total | |
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$1- 9.99 $10-24.99 |
$1.75 $2.75 |
865 Township Road | Shipping | |
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$25-49.99 $50-100 Over 100 |
$3.95 $5.25 $7.00 |
Altamont, NY 12009 | NY State Resident sales tax | |
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Phone order 1-518-861-6822 |
Total |
Please send a check, or you can charge- Number: ______ ______ ______ ______
Exp Date _______________ CVC # on Back _______(last 3 digits)
Name on Card __________________________________________
Billing address __________________________________________
Signature __________________________________________
Date of order:________________