Exceptional gifts for fabulous people!™

RETAIL ORDER FORM

Please type or print neatly, fill out, and snail-mail to us with your full payment in US Dollars.

BILL TO:

 

Name:

Tel #

Address:

Email

 

 

 

 

SHIP TO:

 

Name:

Tel #

.Address:

Email:

 

 

 

 
.
CARD TITLE or STYLE NUMBER
PRICE
QUANTITY
TOTAL

1
.
 .
.
.

2
..
.
.
.

3
..
.
.
.

4
.
.

--
---------------
---------
.--------
..$24.00

5
.
$6.00 ea
.
.

6
.
$6.00 ea
.
.

7
.
$6.00 ea
..
.

8
.
$6.00 ea
.
.

9
.
$6.00 ea
.
.

10
.
$6.00 ea
.
.

11
.
$6.00 ea
.
.

12
.
$6.00 ea
.
.

13
.
$6.00 ea
.
.

14
.
$6.00 ea
.
.

15
.
$6.00 ea
.
.

.--

..NY STATE RESIDENTS ADD 8.625% SALES TAX:
.

.--

..SHIPPING COSTS (OUTSIDE USA ONLY)::
.

.--

.GRAND TOTAL:
.

NOT ENOUGH ROOM FOR THE CARDS YOU WANT TO ORDER?
PRINT OUT OUR ORDER FORM SEVERAL TIMES, FOR YOUR CONVENIENCE. 

Please make your check or money order out to: Moussette
and mail to:

Moussette
Box 6281
NY NY 10128
Attn: Ballard

THANK YOU FOR YOUR ORDER!

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