MAIL ORDER FORM
P.O. Box 273
Ingleburn, NSW 1890
Australia
Ingleburn, NSW 1890
Australia
Print, then mail to:
Mimi
Lee
Lee
Name:
Address:
Email:
Phone No:
Post Code:
Price
Description
Item No
Quantity
Postage
$ Amount
Total:
Credit card No:
Questions, comments, or additional instructions:
Expiry date:
Visa
Mastercard
Name on Card:
Signature:
Cheque/Money Order enclosed for $-------------------
Please debit my credit card for $-------------------
| All Mimi Lee Necklaces $14.95...Postage FREE! Australian orders only. |