:: Order Form :: Blue Moon Jewelry Designs

MAIL ORDER FORM: CLICK HERE TO PRINT * * * * * * * * * * * * * * * * * * * *
Name:_____________________________________________________
Address:___________________________________________________
__________________________________________________________
City:_________________________ State:__________ Zip:___________
Telephone:________________ E-mail:___________________________

Qty	Item #	Description	Price	Total

Shipping charges include postage, and insurance up to $49.99 Please add $5.50 $50.00-99.99 Please add $6.50 $100.00-Over Please add $9.50	SubTotal:
	Mn Residents add 6.5% Sales Tax:
	Shipping/Handling:
	TOTAL:

Please make Money Order/Check payable to:

Blue Moon Jewelry

E-mail: mail@bluemoonjewelry.com

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