Alicia's Regal Jewelry

ORDER FORM

Alicia Carroll
P.O. Box 48796
Los Angeles, California 90048

Tel: 323-655-1458 Fax: 323-655-1458

Payment Plans & Lay-A-Way's Available

Lay-A-Way's must be paid in full- No partial orders shipped

All Major Credit cards accepted via phone or email

Alicia's Jewelry Home Page

ALL SALES FINAL

To continue shopping, hit the back button "Please print, fax, email or mail this form with your order"

 Item Number

 Item Description

 Price
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     

SUB TOTAL
SHIPPING

(California residents only) 9.75%CA. TAX

TOTAL

PAYMENT BY CHECK, MONEY ORDER, CASHIERS CHECK
OR
CREDIT CARDc
Visa - MasterCard - American Express- Discover

NAME
ADDRESS
CITY & STATE & ZIP CODE
PHONE NO:
FAX:
E-MAIL

 

Alicia's Jewelry Home Page