Mail Order Form

Mail Order Form

Please Make M.O. or Check Payable to:

Nikki Jourdan, P.O.Box 1891

Moncks Corner, S.C 29461-1891

Your Name
Shipping Address
E-mail
Phone
Description or ID #
Quantity
Amount $
Subtotal $
Description or ID #
Quantity
Amount $
Subtotal $
Description or ID #
Quantity
Amount $
Subtotal $
S&H $
Total $
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Notes:

Please make sure you send your order form along with the M.O. or check
Please print all your information, so it is easy to read
Check the order form to make sure all information is correct

Thank you for your order

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