PLACE YOUR ORDER

Please provide the following contact information:

First Name
Last Name
Work Phone
Home Phone
E-mail

Please Complete the following Order Form:

QTY  PRODUCT NAME/DESCRIPTION/COLOR     SIZE     PRICE
 Merchandise Total                                                                        
   Add 6% Sales Tax if Shipping to a MI Address                                 
   Add Shipping Charge (Priority Mail)                                                
   Total                                                                                            

  SHIPPING INFORMATION
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Please make your check or money order out                          Shipping Costs

to: Jennifer Christensen                                          Order Total           Shipping

and Mail to:                                                                 $.01 -  $19.99     $2.95   USD            

Jewelry by Jennifer                                               $20.00 -  $49.99     $3.95   USD

    P.O. Box 161                                                      $50.00 -  And Up    $4.95  USD

 Comstock Park, MI  49321

 What is your check or money order number?  

 Please Note, items will not be shipped until payment is received.  Thank you!

   You may submit your on-line form to expedite processing but form must be printed and

                                 mailed in addition to check payment before order will be shipped. 

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