Ship to:

Your Name:
Street Address:
City & State:
Zip:
Email:
Telephone # (optional)

Qty.	Item#  Description	Size/Length	Price Each	Total
Merchandise Total
*Shipping				$5.00
Enclosed Total

Check type of payment enclosed: Check   Money order  Cashiers Check    Please make payable to Sacred Silver

*$5.00 Flat fee for priority shipping on each order. (no piece limit)