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This form can then be completed and faxed to 508-222-3011 or mailed
to
GUYOT BROTHERS CO INC
PO Box 2378, 20 John William Street, Attleboro, MA 02703
508-222-2000
LOCKET ORDER FORM
Customer Name and Billing Address Ship to: (if different)
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
( ) Subscribe to free e-letter (email address)_______________________________
| Quantity |
Description |
Price Each |
Extension |
| Vintage Rose Locket |
$ 5.00 |
||
| Round Vintage Filigree Locket | $ 5.00 |
SOLD OUT |
|
| $ 4.25 | |||
| Victorian Style Oval Locket | $ 4.25 |
SOLD OUT |
|
| Plain Heart Locket | $ 3.75 | ||
| Vintage Floral Heart Locket | $ 3.75 | ||
| Small Round Vintage Filigree Locket | $ 3.75 | ||
| $ 3.75 | |||
|
minimum order 1 dozen |
Total |
Lockets are shipped via U.S. Postal
Service Priority Mail with Delivery Confirmation
Billing Information: ( ) Check Enclosed
Credit Card: ( ) American Express ( ) Visa ( ) MasterCard ( ) Discover
Expiration Date: __________________________Billing address_____________________________
________________________________________________________________________________
Signature________________________________________________________________________
ALL Guyot
Brothers jewelry findings are
Made in USA
(c) 2003-2009 Guyot Brothers Co Inc, A jewelry findings manufacturer