| ORDER FORM | |
| (Mail or Fax Order Form) | |
| Mail to: Broken China Jewelry 1298 Panther Hollow Dr. Bandera TX 78003-5912 |
Fax: (830) 796-7458
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Sales tax |
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Shipping |
$3.00 |
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Total |
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Check
One: |
Custom
order from your own china Check here if you want your china returned Ordering from Broken China Jewelry's own stock |
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| Daytime Phone # ___________________ |
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