Mail Order Form For Silver Buckle With Ivory

Print This Form To Order By Mail

Please charge my:   Visa____ Master Card____ Discover____ American Express ____
Account number:
Expiration date:  
Name on card:
Signature
E-Mail Address
Mailing Address:
City                                                                                   State                                                             Zip

Shipping Address
Name                                                                               Address
City                                                                                   State                                                             Zip
Phone number for order confirmation:
Quantity

Price

 Silver Buckle With Ivory

 $325.00
Subtotal

Idaho residents add 5 % sales tax

Shipping and handling

Free

Total

  

Mail This Form To:

Blue Sky,      3142 N 125 W,     Idaho Falls,      ID.,      83402

E-Mail  steve@blueskyjewelry.com