PRINTABLE ORDER FORM
NAME OF ITEM QUANITY PRICE EACH PRICE TOTAL
Shipping:
If you are a California Resident, sales tax is included Sales Tax:
Total Cost:


Your Name
Address
City, State, Zip
Email

Please make check or money order in U.S. dollars payable to:
Lorena Thompkins.

Mail this completed form to:

LaLore's Custom Jewelry Designs
P. O. Box 263
San Gabriel, CA 91778

PLEASE NOTE: that currently we are only able to accept postal money orders denominated in U.S. dollars or checks denominated in U.S. dollars and drawn on a U.S. bank. Checks must have a valid nine-digit bank routing number (ABA code) micro-encoded on the bottom of the check.