Send Check or Money Order to:

R. Vernon    2960 Mattole Road  Ferndale,  Ca 95536

Ship To: (Please Print Clearly)

Name ____________________________________________________

Address _________________________________________________

City ____________________________ State _____ Zip _______

Phone (______)___________________________ 

Email Address____________________________

Bracelets
Item                    
Quantity
Price
Total
TWO Woman's 7"
 
X   $22.95  =
 
TWO Men's 8"
 
X   $24.95  =
 
TWO Men's 9"
 
X  $27.95  =
 
TWO Men's 10"
 
X  $31.95  =
 
TWO Anklets 9 1/2"
 
X  $26.95  =
 
TWO Anklets 11"
 
X  $32.95  =
 
19" Necklace
 
X   $22.95 =
 
Coppertime copper watch disk
 
X   $12.95  =
 
Rings
Adjustable Size
Quantity
      Price
Total
4-7
 
 X   $19.95 =
 
6-9
 
 X   $19.95 =
 
8-11
 
 X   $19.95 =
 
FIRST CLASS GROUND
Shipping  and  Handling 
   
+ 5.05
PRIORITY
Shipping  and  Handling 
   
+ 12.05
INTERNATIONAL
Shipping  and  Handling 
   
+ 14.05
Tax  (Calif. Residents Only)
 
+    9.25%
 
    Total Enclosed  
Print out and fill in form.
Method of payment:   Check or Money Order, Payable to R. Vernon
(payable in U.S. funds only, Prices subject to change)
Please allow 2 to 3 weeks for delivery