ORDER FORM
To order Jewelry:
1. Print this form
2. Fill it out
3. Write a check payable to Ginny Remedi Designs
MAIL TO:
Ginny Remedi Designs
25 Ivy Road
Malden, MA 02148
617-324-1284
Bill To
Name
Address
City,State,Zip
Phone
Ship To (if different)
Name
Address
City,State,Zip
Phone
Qty Item Name Color Style Description Unit Price Total
              
             
             
             
              
             
             
             
             
             
             
          Subtotal  
          Tax  
          Shipping  
          Balance Due  
          Total  
  • All orders are prepaid or COD
  • Allow 2 weeks for delivery or call for faster service

Major credit cards accepted

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