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Information for Fax Order
Fax: 212-967-7593
 Company Name :
 (If you have)
 Address :
 Name :  Phone :
 Tax ID :  Fax :
 Email :  CellPhone :
 Shipping Information
 (If different)
 address :
 Name :
 Phone :
 Credit Card Information  Card No :  Expiration Date :
 Name on Card :
 Billing Address(If different) :
 Shipping Method  UPS  Next Day Air, Next Day Saver, 2nd Day Air, 3 Day Select, Ground
 US Postal Service  Express Mail, Insured Priority Mail
Please choose one of the above shipping method.
 Memo
Item No Quantity
1 pkg of charm = 10 pieces
1 dz of bracelet = 12 pieces
Price
Per Package or Dozen