|
Name _____________________________________
|
Phone # ____________________________
E-mail _____________________________ |
| Style Code | Description | Ring Type (if nec.) | Dangle Style | Gemstone Type/ Crystal Color | Qty | Price | Total |
| 6% ID Sales Tax | |||||||
| Shipping | |||||||
| TOTAL | |||||||
| Payment Method | |
| __ Check
__ Money Order |
__ Credit Card
#______________________________ exp. date________________ Signature___________________________ |
| Please fax your order to:
(208) 788-8098 |
Or mail with payment to:
HVNLY NIGHTS PO Box 4018 Hailey, ID 83333 |