CULLQUIPUMA

Print this ORDER FORM and mail Check or Money Order __payable to: Silverplume Productions____P.O. Box 660518, Arcadia, CA 91066-0518 __

www.cullquipuma.com

 

# QUANTITY
ITEM NAME & # (Ring, Earring, Pendant, Bracelet)
SIZE (if applies)
$ PRICE
       
       
       
       
       
       
       
       

(U.S. orders ONLY) FREE Shipping and Handling:_

.00
TOTAL Enclosed
 
o Make check or Money Order payable to: Silverplume Productions

 

NAME__________________________________________________________________________________

STREET__________________________________________________________________________________

CITY__________________________________________State___________________ZIP________________

PHONE_________________________________________________________________________________

Your Information will NOT be shared with others. Your phone number is only in case we need to contact you to correctly fill your order. THANK YOU for your PATRONAGE!