Premier Designs Jewelry Orders 

Everyone who buys 3 regular priced items can take a 4th item for 50% off!!!

Name: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

Address: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

______Item # & Name: ______Qty: ____ Size: ____ Price: ______

Phone #: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

Yes, I want FREE Jewelry! Call me to book a Home Show!(The average amount of free Jewelry a Hostess receives is worth $250!)Shipping & Ins: 2.50

Please check method of payment received: ____ Cash ____ Check (written to Allison Wiers) ____ MC/Visa/ Discover/AMEX Subtotal: ______

MC/Visa/ Discover/AMEX: ______Exp: ______Billing Zip Code: ______Sales Tax: ______Total Due: ______

Name: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

Address: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

______Item # & Name: ______Qty: ____ Size: ____ Price: ______

Phone #: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

Yes, I want FREE Jewelry! Call me to book a Home Show!(The average amount of free Jewelry a Hostess receives is worth $250!)Shipping & Ins: 2.50

Please check method of payment received: ____ Cash ____ Check (written to Allison Wiers) ____ MC/Visa/ Discover/AMEX Subtotal: ______

MC/Visa/ Discover/AMEX: ______Exp: ______Billing Zip Code: ______Sales Tax: ______Total Due: ______

Name: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

Address: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

______Item # & Name: ______Qty: ____ Size: ____ Price: _____Phone #: ______Item # & Name: ______Qty: ____ Size: ____ Price: ______

Yes, I want FREE Jewelry! Call me to book a Home Show!(The average amount of free Jewelry a Hostess receives is worth $250!) Shipping & Ins: 2.50

Please check method of payment received: ____ Cash ____ Check (written to Allison Wiers) ____ MC/Visa/ Discover/AMEX Subtotal: ______

MC/Visa/ Discover/AMEX: ______Exp: ______Billing Zip Code: ______Sales Tax: ______Total Due: ______