Jewelry Design by Elena Order Form

Jewelry Designs by Elena
PO Box 449
Goldens Bridge, NY 10526

SHIPPING ADDRESS

Name __________________________________________

Address _______________________________________

City ___________________ , State __________ Zip __________

  Quantity Item Title Price
1. ___________ _______________________________________ ___________
2. ___________ _______________________________________ ___________
3. ___________ _______________________________________ ___________
4. ___________ _______________________________________ ___________
5. ___________ _______________________________________ ___________
6. ___________ _______________________________________ ___________
Total Price: ___________

Make a check or money order payable to Elena Gregory and mail it to:

Jewelry Designs by Elena
PO Box 449
Goldens Bridge, NY 10526

The Check or money order must be in US dollars. Orders will be shipped as soon as the check has cleared.