ORDER FORM

Last Name________________________  First Name_______________
Address___________________________________________________
City_________________________ State_______ Zip Code__________
Daytime Phone_________________ Evening Phone_________________
E-Mail Address_________________________ Gift Wrap? __ Yes __No

Order #     Item Description     Wrist/Neck/Ankle Size     Price   x  Quantity     Total Price

Subtotal_____________     
AZ Residents add 8.1 Sales Tax______________     
Shipping & Handling (inside the U.S.)               $4.50      
Total Amount_____________      

Delivery of in-stock items is usually about 2 weeks after receipt of order.
Free gift wrapping available upon request.

To purchase any piece(s), please print & fill out order form, and send it with a check or money order for the total amount to:

GULINO DESIGNER HANDCRAFTED JEWELRY
P.O. Box 15513
Scottsdale, AZ  85267-5513

Please make checks payable to Gulino Designer Handcrafted Jewelry