ORDER FORM
Please note that the price for the pendant is $99.00 (including taxes & shipping). The pendant is approximately 1” high and ½ inch wide in 10K yellow gold or white gold, the stone is a pink topaz,
the chain is 18” long. Proceeds from this purchase go to the Kelly Shires Breast Cancer Snow Run.
First Name:_______________________________________
Last Name:_______________________________________
Address:_________________________________________
Address 2:_______________________________________
P.O. Box #:_________________ Apt. #_____________
City:______________________ Province:___________
Postal Code:______________
Telephone number:__________________________________
Fax Number:____________________ e-mail:__________________________
I wish to order ______ pendant(s) @ $99.00 each.
___ Yellow Gold ___ White Gold
Paid by ______ Cash _____ Cheque
Please issue cheques to:
EURO JEWELS
907 Boyer Boulevard
Mississauga, Ontario
L5V 1X3
Your order will be shipped with 1 week of receiving your payment.