Please print and fill this form then send your completed order form with your cheque or postal order to:

SILVER ELEGANCE
PO BOX 38670
LONDON
W13 9TL

Please make all cheques and postal orders payable to 'Silver Elegance'.

TITLE	:
FIRST NAME	:
SURNAME	:
EMAIL	:
ADDRESS	:
TOWN/CITY	:
COUNTY/REGION	:
POSTCODE	:
COUNTRY	:
BRACELETS   Item Code   Quantity   B001     B002     B003     PENDANTS   Item Code   Quantity   P001     P002     P003     P004     P005     P006     EARINGSS   Item Code   Quantity   E001     E002     E003     E004     E005     E006

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