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J`adore Jolie Order Form
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
Your E-Mail:*
Desired Purchase
Item No. & Size Unit PriceQuantityTotal
Item 1:*
Size*
Item 2:
Size
Item 3:
Size
Item 4:
Size
Item 5:
Size
Item 6:
Size
Sub-Total:
Shipping & Handling
Grand Total (excl. int`l shipping):
Customer Information
First Name*
Last Name:*
Posting Address:*For receiving your purchases
Country:*
City:*
State:*
Postal / Zip Code:*
Contact Number:*
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