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| 36 Houghtaling Road, Hurleyville, NY 12747 | email: orders@heartjewels.com | |
| FAX: 845.434.3608 | ||
| order form ~ | Date: | |
| Sold to: | Ship to: | |
| Name on Credit Card: | ||
| Credit Card #: | Type: | Expiration Date: |
| Number | Style # | Description | Price | Extention |
| Sub Total | ||||
| Shipping | $6.00(Min.)* | |||
| Tax (NY State) | ||||
| Total |
Thanks for supporting the Spiritual Arts!
Please print this page and email orders@heartjewels.com or FAX 845.434.3608 or send to: 36 Houghtaling Rd., Hurleyville, NY 12747
*Shipping USPS Priority Mail ~ larger orders will be per usps charges.