Order Form
All items are custom made and prices change depending on stones and shells available.
Please identify the pieces that you like and we will contact you with the prices.

Please fill in the info and then you may print
and fax it to the following number: 011-504-455-7222

Name on Credit Card:
Item you are ordering:
Total Price:
CC number:
Expiration date:

Visa:
MC:
American Express:



Phone number:
Mailing address 1:
Mailing address 2:
City:
State:
Zip:
Country:
Email address:

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