Kim's Designs Order Form

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Kim's Designs Order Form

http://www.kimdesigns.freeservers.com
1-800-844-4871
610-354-9665
Fax: 610-265-7122 (Upon request)

Name: ________________________________ Email address: ___________________________________

Phone number: _____________________________________

Address: __________________________________________

_________________________________________________

Please list all jewelry you wish to purchase:

( specify ring size, length of necklace-chain when order / Ear clips extra $ 10/pair )

Item Number Description Price

__________ __________________________________ $ _____________

Sub-Total ............................ $ _____________

Pennsylvania Resident add 6% tax ..... $ _____________

Shipping and Handling ................ $ 5.50

Total Price .......................... $ _____________

( Free shipping for all orders over US $200 )

Payment by ( check one ) : Visa _______ Mastercard _______ Check _______ Money order _______

Credit Card number (if paying by Visa or Mastercard): ___________________ Exp. date ______/____

Card holder's name: _____________________________

How did you find out about Kim's Desgins?

Thank you for ordering jewelry from Kim's Desgins.
Please print this form and fax to (610) 265-7122 ( call first ).
Your order will be shipped within 2-4 days.
Please make all checks out to:

Kim's Designs
P.O Box 60053
King of Prussia, PA 19406

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