Loose-Gems.com Mail Order Form
Mail Order Payment Types We accept :Money Orders / Bank Checks
Only
Orders will be held till check clears our bank
Make out to : Franlo Cyber Services
Mail To: 6 Edgewood Forest Ct
The Woodlands Texas 77381
Number of Stones ..........Size ............Type of stones..................Price each...................Total
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________________________________________________( Tax if in Texas 7.25%)________________________
__(Shipping $0-$9 = $5 $10-$50= $6.00 $51-$200 = $8.00 Mail Order Shipping To USA Only___Canada $8.50 USD____ UK $10.00 USD
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Full Name_____________________________________
e-mail _________________________________________
Shipping Address________________________________
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