Mail Order Form

Print and mail order form to:

Black Swan Magnetic Jewelry
31779 Grosbeak Rd.
Long Prairie, MN  56347 

Ph. 320-547-2266

Make checks payable to Black Swan Magnetic Jewelry
Item Number Description
Size
Color (if applicable)
Quantity
Price
Total
             
             
             
             
             
             
             
             
             
             
             
             
             
Subtotal
  
Add 6.5% tax for orders shipping within Minnesota
  
Free Shipping within the continental U.S.
Contact us for shipping charges to AK, HI, or outside of the U.S.
 
Total
  
Name:
Street:
City:
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Phone:
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Credit Card Number:
Exp. Date:
V-Code: