Order Form
If you would like to order by mail, please print out
and use the form below.
• You may pay with your credit card or by check.
• All orders must be paid in US Dollars only.
• Please allow 2 weeks for delivery.
Name:
Email:
Address:
City:
State
Select
Alabama
Alaska
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Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Phone Day
and Night
Products to be Purchased
Please include the products you wish to order in detail,
we will email you to confirm your order.
Select Product
Mounted Butterfly
Butterfly Collage
14kt. Jewelry
Coin Jewelry
Details
Select Product
Mounted Butterfly
Butterfly Collage
14kt. Jewelry
Coin Jewelry
Details
Select Product
Mounted Butterfly
Butterfly Collage
14kt. Jewelry
Coin Jewelry
Details
Select Product
Mounted Butterfly
Butterfly Collage
14kt. Jewelry
Coin Jewelry
Details
Shipping & Handling and Insurance prices will be quoted upon ordering.
Payment Method
Please select your payment type, we will contact you to receive credit card payments. See below for mailing address for checks.
Credit Card Type:
Visa
Discover
Mastercard
or
Check
If you do not hear from us within 24 hours
please resubmit your request.
Mail payments too:
Flutters
2496 Palm Ridge Road • Suite C
Sanibel Island, Florida 33957
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Contact
© 2008 Kelly's Cocoons • 2496 Palm Ridge Road Suite C Sanibel Island, Florida 33957 • Phone: (239) 472-8383
