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Coulombe Creations - Order Form |
Please print, complete this form, and mail it to the address below.
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Coulombe Creations
5502 California Street
San Francisco, California 94121
(415) 751-7689
Email: slc10@earthlink.net
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| Customer Name: |
| Address: |
Phone: |
| City: |
State: |
Zip: |
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Description |
|
Length |
Price |
Quantity |
Total $ |
| Necklace (FWPGN 1) |
View |
20" |
$35.00 |
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| Necklace (FWPPN 1) |
View |
16" |
$30.00 |
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| Necklace (CNSN 2) |
View |
21" |
$50.00 |
|
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| Bracelet (CNSB 1) |
View |
7", 71/2", 8" |
$30.00 |
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|
| Necklace (CZSN 1) |
View |
21" |
$75.00 |
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| Bracelet (CZSB 1) |
View |
71/2", 8", 81/2" |
$40.00 |
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| Bracelet (CZSB 2) |
View |
71/2", 8", 81/2" |
$55.00 |
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| Necklace (CNSN 1) |
View |
21" |
$75.00 |
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|
| Bracelet (CNSB 2) |
View |
7", 71/2", 8" |
$30.00 |
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|
| Necklace (ABN 1) |
View |
15 1/2" |
$105.00 |
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|
| Necklace (FWPN 1) |
View |
21" |
$66.00 |
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|
| Bracelet (FWPB 1) |
View |
8" |
$30.00 |
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| Necklace (ZFN 1) |
View |
26" |
$50.00 |
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| Bracelet (GSB 1) |
View |
71/2" |
$15.00 |
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Thank you for your order |
TOTAL |
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Shipping & Handling
(Add $5.00) |
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CA Tax (8.5%) |
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GRAND TOTAL |
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| Please indicate type of payment: [ ] Check [ ] Money Order |
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Make checks or money orders payable to: Coulombe Creations
Please allow 3-4 weeks for delivery
(Please do not send cash) |
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Coulombe Creations |