Charm Order Form

                  This Form does not allow picture attachments.

            Please send a separate email to stethem@eurekanet.com

                        with the photos you want attached.

      Please type the Photo File name on this form. (example: joe.jpg)

      Photo File Name           Product Choice                             Price    Qty     Total

   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                       Shipping

                            Total

How are you planning to pay?

  Paypal (credit card/Debit card)
  Cash (pick up)
  Check
  Money Order

                    

                          Shipping and contact Information

Name

Street address

Address

City

State/Province

Zip/Postal code

Home Phone

E-mail

Homepage

 

 

Please enter the date you placed your order :

How Did You Hear About This Site?

Comments or requests?

 Please Check over your order and

make sure it is correct then press Place Order once!!