Sheila's Sculptured Jewelry and More Printable Order Form


                                     Printable Order Form

 

To submit an order, please print this form, complete, and send payment in the form of a personal check, money order or cashier's check and mail to:

 

Sheila's Sculptured Jewelry and More

2000 Clinton Place West

Owensboro, KY  42301

 

 

 

Please allow 2 to 3 weeks for shipping. If sending a personal check, allow 10 days for the check to clear the bank.

 

Items Ordered:

 

Item Number

Item Title

Size

Color

Quantity

Price

e.g. 00125

e.g. Birthstone Pin

e.g. N/A

e.g. gold

e.g. 1

e.g. 20.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plus 12% sales tax (CA residents only)

 

Plus $2 Per Item for Shipping & Handling

       2.00

Plus an additional $10 to have items shipped by Federal Express

 

Total

    $22.00 

 

For more items, please print and include a second form.

 

Customer Information

 

*First Name ________________________

*Last Name ________________________

Company     ________________________

*Email         ________________________

Phone          _________________________

 

Shipping Address (if different from billing address)

 

Ship To Name __________________________

Address Line 1 __________________________

City __________________________________

State/Province __________________________

Country _______________________________

Zip/Postal Code _________________________

 

 * Don't forget to add shipping to your purchase.

Thank you for ordering from Sheila's Sculptured Jewelry and More. If you have any questions, please do not hesitate to contact us by phone at: 270-315-6335, or by email at: sheilawebster@roadrunner.com