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$79.95



www.gifts-flowers-giftbaskets.com
are happy to offer layway on all jewelry items over $200.00
minimum deposit is $100.00 and payments can be made for any amount over $25.00 at any time you feel comfortable.
Layaways can only be kept for One Year

Credit Card and Debit Card Layaways, 
call us 845 978 9603 to order.

Check or Money order payments, print the order form below
(To print, click the Print button on your browser window).
print landscape

Mail us your order with your first payment of $100.00, and make payments at any schedule you feel comfortable with. (minimum payment amounts thereafter are $25.00) Layaways can be kept for up to one year. 
Orders are shipped after last payment is received.


www.gifts-flowers-giftbaskets.com
P.O. Box 11, Kiamesha lake, NY, 12751
LAY-AWAY ORDER  FORM
DATE__________
        
Qty Item #
Description
Size
Metal/Color/Stone Price Each
Total
             
             
             
             
    FREIGHT:
Free
FREIGHT  
   

GIFTWRAP
($free)

 
SPECIAL INSTRUCTIONS: TOTAL  
  PAYMENT
AMOUNT
 
  BALANCE
DUE
 

SHIPPING INFORMATION

NAME   DAYTIME
PHONE
(       )
ADDRESS   EVENING
PHONE
(       )
CITY   EMAIL
ADDRESS
 
STATE, ZIP      
INSCRIPTION: If this order is for a ring with a special inscription or name, please write the inscription here and specify if you want all upper case, upper and lower case, or all lower case letters. _____________________________________________________________
IF THIS IS A CUSTOM ORDER, PLEASE READ, DATE AND SIGN: I acknowledge that this is a special order and is non-cancelable and non-returnable.
 
PRINT NAME                                        SIGNATURE                                                DATE