Bill to:
Send to (if different):
_____________________
__________________________
_____________________
__________________________
_____________________
__________________________
Phone no._____________
E-mail._____________________
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Shipping: Add $8.00 for U.S. Priority Mail or $18.00 for FedEx 2-day delivery.
Visa____, MasterCard____, American Express____, or Discover____
Number __________________________
Expiration Date _______ Signature ________________________
To order, print this order form or click here
for printable form. (You may be able to complete the form on your computer before you
print it.) Complete the order form and include credit card information if paying by Visa
or MasterCard. Fax the form to:
(770) 461-9773.
Or mail form with check or money order (in US funds only) to:
The Pearl Lady
P.O. Box 142523
Fayetteville, GA 30214 |
