Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: Lisa Anderson Jewelry 15 Crooked Hill Road Alford, MA United States 01230 Phone #: 413 528-6057 Fax #: Email: lisa@lisaandersonjewelry.com
Circle Payment Method: Check Money Order VISA MasterCard
Print Name:
Address:	Email:
City:	Credit Card Number:
State & Zip:	Expires:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
MA residents must add 5%% sales tax-
MAKE CHECKS PAYABLE TO: Lisa Anderson	Total :

Thank you for shopping at Lisa Anderson Jewelry.