To use this form, print it out and mail it with your check or money order to:

Judy Kinsey
J&J Creations
4009 Hillview Rd.
Santa Maria, CA 93455

YOUR NAME: __________________________________________________________

SHIPPING ADDRESS: ___________________________________________________

CITY/STATE/ZIP: _______________________________________________________

PHONE: ____________________

E-MAIL ADDRESS:________________

Credit Card#:______________________ Exp.Date:__________

Item #: _______ Price $_______

(short discription):_____________________________

Item #: _______ Price $_______

(short discription):_____________________________

Special Order requests:
Size specifications, colors or stones? Clip or pierced earrings? No earring? Need a bracelet to match?
_________________________________________________________

TOTAL$________

REMEMBER: Original Jewelry makes a great gift!
Thanks for your order,
Judy & Jerry of J&J Creations


Email: cyn_kinsey@hotmail.com Web Address: http://www.jnjcreations.biz

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