485 Alisal Road - Suite N 1
SOLVANG CA 93463
Web Site: www.pearlsofprovence.com
e-mail: pop@pearlsofprovence.com
Toll Free: 1 (866) 573 2757
Fax: (805) 688 1132

Shipping Address (street address required for all P.O. boxes)
Name: ...................................................................................................................
Address:.................................................................................................................
City:........................................................State:........................Zip................:.........
Phone: (.......)............................

Payment Method
Check - Credit Card: MasterCard Visa Discover American Express
Account Number: _______________________________________
Expiration Date: __ __ - __ __

Card Holder Signature - Date:
Item #
Item Description
Color
Size
Price/Unit
Quantity
Total
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
Merchandise Total
  
Add SalesTaxes for Delivery in CA (7.75%)
 
Shipping & Processing charges
  
Total
 
All Sales are Final - Items can be exchanged, or store credit issued. No refunds


 



To place your order, please print this Order Form and fax it to:
1 (805) 688 1132, or Call Toll Free: 1 (866) 573 2757
Thank you for shopping at PearlsofProvence.com