Order Form:  

Fill in this form and print. 

Mail with payment to: Laura Albert   Po. Box 2653 Sedona, AZ 86339

First Name
Last Name
Address
City
  State Zip Country
e-mail      Date of Order  

Phone

Jewelry description)

QTY Price TOTAL
Other ithem QTY Price
Sub-total

Shipping and Handling charges:

Item Price
For ithems Add $5.95 For Shipping/Handling
Tax-(10.35%)
AZ
residents
Only

Shipping


TOTAL


 Checks or money orders only

Chk#