Mail Order Form

Order Form for Jewelry, Pet Jewelry
Tarot Readings and DVDs

You can either fill this out online, then print out,
or just print out and fill out the information by hand.

Mail this form with your check or money order to:
Tanya, PO Box 142, Tesuque, NM 87574

Please enter your name:
E-mail address:
Company Name:
Daytime Phone:
Street address:
City:
State:
Postal code:
Country:

Please enter the name of the product you wish to order and the price in the form below.
Please check the list below for reference in filling out the order form.
For more information:



Quan. Item Name Price
 
Merchandise Total

Shipping & Handling
Please add $5 for the first item and $1 for each additional item.
All sales are final (no returns) on jewelry and DVDs.

Shipping & Handling
Subtotal

NM delivery add 8.4375% Tax

Orders outside of the US or Canada, add an additional $5.
Total Enclosed

Mail this form with your check or money order to:
Tanya, PO Box 142, Tesuque, NM 87574

Thank you for your order!