Information for Fax Order
Fax: 212-967-7593
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Company Name :
(If you have)
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Address :
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Name :
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Phone :
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Tax ID :
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Fax :
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Email :
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CellPhone :
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Shipping Information
(If different)
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address :
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Name :
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Phone :
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Credit Card Information
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Card No :
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Expiration Date :
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Name on Card :
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Billing Address(If different) :
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Shipping Method
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UPS
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Next Day Air, Next Day Saver, 2nd Day Air, 3 Day Select, Ground
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US Postal Service
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Express Mail, Insured Priority Mail
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Please choose one of the above shipping method.
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Item No
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Quantity
1 pkg of charms = 10 pieces of charms
1 dz of bracelets = 12 pieces of bracelets
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Price
Per Package or Dozen
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