Sterling Silver Charms Mail Order Form

....Modern Choice Sterling Silver &
Sterling Silver Charms Bonanza

Mail Order/FAX Form

1. Print this form.
2. Return to Catalog Directory (bottom of this page).
3. As you browse through the different categories simple click on any item. You will then be shown a larger picture of the item.
4. Fill in the Mail Order Form using the Product Code, Title,Quantity, Price & Extension.
5. Mail to address below or FAX to: (916)791-5714.

ProdCode	Title	Quantity	Price	Extension
			Subtotal
			CA Sales Tax %7.00 CA Residents only
			Shipping	$3.85
			Total

Bill To: Name_________________			Ship To:(if different):Name_________________
email address:__________________			email address:_________________________
Address______________________			Address______________________________
City_________________________			City__________________________________
State_____ Zip_________			State_____ Zip_________

Credit Card Number:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Exp. Date ______
Note Personal check mail orders will be shipped within 2-4 weeks.
Please fill out Mail Order Form. Make Check or Money Order payable to:
Modern Choice Sterling Silver
2331 Shelter Cove Ct.
Rocklin, CA 95765

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