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NAME:
ADDRESS:
CITY/STATE/ZIP CODE:
COUNTRY:
PAYMENT (CIRCLE ONE)
PAYPAL
CHECK (US DOLLARS / US BANK ONLY)
EMAIL ADDRESS:
SPECIAL COMMENTS:
ITEM REFERENCE
COLOR SPECS (LEATHER, COINS/BEADS/CONCHOS, SUEDE/
WAXED COTTON LACE COLOR
WRIST SIZE
(INCHES OR CM)
TOTAL
ADD 9.5% TAX (for
IL residents only)
Shipping &
Handling
US, Canada, EEC: US$ 6 + 2.50 per extra item
Other countries: shipping at cost. Please enquire
first
TOTAL
ORDER FORM
SEND YOUR ORDER/QUESTIONS TO:
ONCE YOU RECEIVE YOUR INVOICE, PLEASE SEND
PAYMENT TO:
PAYPAL:
CHECK:
MISS NYET PUBLISHING, LLC
PO BOX 12436 CHICAGO, IL 60612 USA