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Mail Form To: |
Sunsylver Jewelry |
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PLEASE PRINT CLEARLY
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| Your Name: | |||
| Address: | |||
| City: | |||
| State: | ZIP: | ||
| Phone: | E-mail: | ||
| Sunsylver necklace, bracelet, anklet, or ring? | |||
| Which Sunsylver Item? | Price Each | Quantity | Total $ |
| [1] |
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| [2] |
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| [3] |
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| Date of Order: | Total Due: | $ |
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| For each necklace, bracelet, or anklet above, please indicate the details: | |||
| Name to Place on Jewelry: | Gold or Silver? | What length chain? | Accessories? |
| [1] |
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| [2] |
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| [3] |
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| For each RING above, please indicate the details: | |||
| Name (or initital) to place on ring: | Gold or Silver? | What size ring? | |
| [1] |
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| [2] |
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| [3] |
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| You can write any special instructions or requests here: |
| Please make checks or money orders payable to: Roger Arshagouni
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