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Feathered Gems Jewelry Fax or Mail Order Form
Fill in the blanks, and mail along with a check or money order, made out to: Kathy Johnson. US funds only, please. For credit cart payments, fill in the blanks and then mail or fax: Mail to: Feathered Gems, PO Box 722, Lincoln Park, MI 48146 or fax to: 313-928-9123
Please include necklace or bracelet length and style, type of beads desired and any other details that will help me make your order to your specifications. Use more than one form if necessary. |
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Prices Subject To Change Without Notice Express Delivery available, contact us for details
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Subtotal: |
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6% MI Tax |
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Priority Mail $4.95 |
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| Optional Insurance | ||
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NAME:__________________________________________________________________________________________
ADDRESS:_______________________________________________________________________________________
CITY:____________________________________________ STATE_______________ ZIP CODE:_________________
PHONE#:________________________________________________________________________________________
E-MAIL:__________________________________________________________________________________________
PAYMENT METHOD: CHECK______ MONEY ORDER______ MASTERCARD______ VISA______ DISC______ AMEX_____
CARD NUMBER_______________-_______________-_______________-_______________ EXP. DATE ________/_________ |
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