Order Form

Please fill out this form, print it, and mail to Leslie Wind

Leslie Wind Jeweler
338 Granite Street
Box 2327
Rockport, MA 01966

For more information or to order by phone, call 978-546-6539

or send e-mail to wind@cove.com.

 

Name:
Address:
City:   State:   Zip:
Phone:
Fax:  
Email:

 Quantity 

  Description                                                                                 

 Price      
Silver Snowflake Ornament  -  $25  
  Heart Star Ornament  -  $25  
  Present Pendant with chain  -  $38  
  Sweater Heart Pin - Silver  $25  
  Sweater Heart Pin - Bronze  $20  
  Rune Tack  Silver   $15    Symbol:    
  Rune Tack 14K Gold  -  Please call for pricing    Symbol:    
  Trilobite Earings  -  $50  
  Trilobite Pendant with chain  -  $40  
  Trilobite Pendant only  -  $25  
  Silver Shark Vertebrae Ring  -  $40 narrow  $60 wide   Size:    
  Silver Shark Vertebrae Pendant with chain  -  $40  
  14K Gold Shark Vertebrae Ring  -  Please call for pricing   Size:    
  14K Gold Shark Vertebrae Pendant  with chain - $250  
  14K Gold Shark Vertebrae Pendant only   -  $100  
  Silver Baby Spoon - Please call for pricing  
  Recycled Gold Heart  -  $50 enclose 14K Gold only  
Please add custom work below
   
   
   

Sub-total 

 


Payment Method

Check Enclosed

Visa   MasterCard     

Account No.   Exp. Date:

 Sub-total:

Shipping via US Post:
Total:
signed
By signing above, I certify that I am the actual card holder and authorise Leslie Wind Jeweler to charge the amount listed.

GALLERY   HOME