Merchandise is shiped within 2 working days of receipt of your order at NO EXTRA cost.

Shipping and Handling:

ORDER FORM for PRINTING

ORDER FORM
BODY JEWELRY BY JUDY

     13600 Marina Pointe Dr #1715 / Marina Del Rey, CA 90292 U.S.A.

  +-----+------------------------+-------+-------+-------+-----+
  |Item |Indicate Colors of      |CIRCLE | PRICE |  Qty  |Total|
  |Code |    Crystals            | GOLD  |  EACH |       |Price|
  |     |                        | SILVER|       |       |     |
  +-----+------------------------+-------+-------+-------+-----+
  |     |                        |  G S  |       |       |     |
  +-----+------------------------+-------+-------+-------+-----+
  |     |                        |  G S  |       |       |     |
  +-----+------------------------+-------+-------+-------+-----+
  |     |                        |  G S  |       |       |     |
  +-----+------------------------+-------+-------+-------+-----+
  |     |                        |  G S  |       |       |     |
  +-----+------------------------+-------+-------+-------+-----+
  |     |                        |  G S  |       |       |     |
  +-----+------------------------+-------+-------+-------+-----+
  |     |                        |  G S  |       |       |     |
  +-----+------------------------+-------+-------+-------+-----+
  |     |                        |  G S  |       |       |     |
  +-----+------------------------+-------+-------+-------+-----+
  |                                        Item Total:  $      |
  | Shipping/Handling:                                  $4.00  |
  | Outside U.S.& Canada add additional $4.00           $      |
  | California Shipment-Add 8.25% TAX:                  $      |
  ----------------------+--------------------------+-----------+
                             TOTAL CHARGES:        |    $      |
                        +--------------------------+-----------+



  Payment method: (Circle One) VISA / MASTERCARD /

  AMERICAN EXPRESS / DISCOVER / MONEY ORDER / CASH /  CHECK 

   (Make checks payable to JUDY KIRK JEWELRY)


  Card Number: __________________________________  

  Expiration Date: ____/____/____      

  Signature: ________________________________

				Shipping Address         

Name:
		+---------------------------------+
Street:
		+---------------------------------+
   Apt: 
		+---------------------------------+
  City: 
		+---------------------------------+
St/Zip: 
		+---------------------------------+
  Tele:
		+---------------------------------+