Your Order Information:
Your Name
Address
City
State
Zip Code
Phone Number
E-mail Address
Shipping Info (if different):
Name
Address
City
State
Zip Code
Above information only needs
to be filled out if different
from the order information
CLICK THE CHECK BOX FOR ITEMS ORDERED
ITEM# MGLCB8 Gold and gemstone with crystal and lampin.
Mothers Bracelets Selection for ITEM# MGLCB8
Mothers Bracelet Personalization
Name 1.
Name 2.
Name 3.
Name 4.
Name 5.
Please,
put the names you in birth order
if you want them in birth order
place a 0 in the fields you aren't using.
Payment By Credit Card
Order Total Amount $:
Card Holder
Card Number
Expiration
I authorize you to charge the above
stated charge account for the above
selected items in the amounts shown.
I hereby understand that the company
SGM Distributing will be printed on
my monthly billing statement.
Please make sure the form
is complete and accurate.


TO
ORDER
BY
SNAIL_MAIL:

SEND PERSONAL CHECK, MONEYORDER OR CASHIER CHECK WITH YOUR COMPLETED ORDER TO:

CREATIVE JEWELRY

27 JULIE LANE

ST PETERS,MO. 63376

Allow 3 to 6 weeks for delivery on snail mail orders.

For faster service of 1 to 3 weeks delivery copy and paste the order form and e-mail the form to the address below(Orders are shipped only after payment has been received.)

<~~~ CLICK HERE TO USE THE ONLINE CHECK SERVICE.

Send order to:[email protected]