Earring Order Form

Earring Order Form: To order, print out this page, write in the quantities and FAX it back to us at 1.866.717.0928

NOTE: BC =Brass with Copper Inlay NC =Nickel with Copper Inlay

NAME: ________________________________________________ PHONE: _______________________________

STREET: _____________________________ CITY: _____________________STATE/COUNTRY: _________ ZIP/POST CODE: __________

Retail Customer___ (Check here if this product is for personal use)

New Wholesale Customer - If this product is for resale please provide your Business License Number ____________________

4 Dancing Women - GD11BC	4 Dancing Women - GD11NC	Tree of Life - GD16BC	Tree of Life - GD16NC	3 Dancing Women - GD10BC
3 Dancing Women - GD10NC	Maiden, Mother & Crone - GD07BC	Maiden, Mother & Crone - GD07NC	Triple Goddess - GD02BC	Triple Goddess - GD02NC

Square Knot - CE01BC	Square Knot - CE01NC	Horse Knot Knot - CE04BC	Horse Knot Knot - CE04NC	Serpent Knot - CE02BC	Serpent Knot - CE02NC
Pentegram - CE08BC	Pentegram - CE08NC	Peacock Knot - CE06BC	Peacock Knot -CE06NC	Celtic Cross -CR01BC	Celtic Cross - CR01NC

Earth - NA01BC	Earth - NA01NC	Dolphins - NA14BC	Dolphins - NA14NC	Wolf - NA03BC
Wolf - NA03NC	Running Wolves - NA35BC	Running Wolves - NA35NC	Hummingbird - NA22BC	Hummingbird - NA22BC

Made in the U.S.A.

This product is not Indian made or an Indian product under U.S.C. §305 et. seq.