Luminosity Collection Unique jewelry for every occasion. Print Order Form

Item Num.	Description	Color	Gift Wrap	Quantity	Price	Sub Total
Order Total
Shipping (see below)						$3.50
Total

Name:
Address:
E-Mail Address:
Phone:

Be sure to include either your e-mail address or phone number in case we have a question about your order. Enclose a check or money order for the total amount payable to J. Shirk and send your order to: J. Shirk P.O. Box 884 Huntingdon Valley, PA 19006

Shipping Special: If your order totals $50 or more before sales tax, we'll pickup the shipping costs! Just cross out the shipping cost on this form.

Gift Wrapping Just check the "Gift Wrap" box and we'll do the wrapping for you. Add $3.95 to to price for each item you want wrapped.