Jewelry Designs by Elena
136 Mitchell Rd
Somers, NY 10589
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.