BZ Premier Designs Order Form TEST distributed 0001 (PDF)




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Title: Microsoft Word - BZ Premier Designs Order Form.docx

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Barbara Zarcone – Independent Jewelry Consultant
Website

Catalog

Print

Submit

Order Form

Name:
Address:
City:

ST:

Zip:

Email:
Home Phone:

Cell Phone:

Hostess:

Party Date:



Item Number



Size

Page #

Item Name

Quantity

Cost

Total







































































THANK YOU FOR YOUR ORDER

Total:

CASH OR CHECK PREFERRED

Shipping:

CHECK PAYABLE TO:
Barbara Zarcone
(908) 672-3979

Subtotal:

barbara4jewelry@gmail.com
barbarazarcone.mypremierdesigns.com

6.875% Sales Tax:
(Required by law)

Total Due:

Please complete ALL information below if paying by credit card (Mastercard or Visa only)
Credit Card #:

Expiration Month:

CCV (3 digit code on back):

Billing Zip Code:

Approval Signature:



/ Year:






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