www.ShyBodyJewelry.com Mail in Order Form Date:____________________
Payment Options - Money Orders Only
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*Contact Person: _________________________________________________*Phone #:__________________
*Street Address:_________________________________________________
*City:____________________________________ *State:____________ *Zip Code:____________________
Email Address:_________________________________________
(if you would like email verification of order received & shipment please include your email address)
Free Shipping with $50 Purchase!!
Please mail Money Orders & Make Payable to:
Shilo Davenport
R5836 Pioneer Rd
Athens, WI 54411
Thank you
Available for Orders within the United States Only!