|
|
|
|
|
 |
|
|
 |
|
CUSTOM DESIGN ORDER FORM
step 1: Click on the order from that is on top of the home page then print the order form.
step 2: Fill out the information, design what kind of gold teeth you want and pay with money Order.
*A. Money order : Send us the money order with the order form and then we will send you back the molding kit. After you make the mold send it to us.
>14kgoldteeth.com
PO BOX 3280 McDonough, GA 30253
|
|
Name:_________________________________________________________________
Address:______________________________________________________________
Phone: ( )_____________________________________________________________
Gold Teeth Style Number (can be found next to sample picture.):____________________
Gold Teeth Design. (If you have any special design request, please draw your design below)
Special Request_________________________________________________________
_____________________________________________________________________
|
|
|
| |
| Step |
Description |
Quantity |
Total |
| #1 |
Molding Kit. $20/each (How many Molding Kit do you need?) |
. |
$ |
| |
|
|
|
| #2 |
Gold Teeth (Check the color! How many gold teeth do you want?) |
|
|
| |
(Yellow or White) 10KGold, $35 / each |
.
|
$ |
| |
(Yellow or White) 14KGold, $45 / each |
. |
$ |
| |
(Yellow) 18KGold, $55 / each |
. |
$ |
| |
|
|
|
| #3 |
Letter/Initial Free |
. |
|
| |
Vampire Fang $10/ each |
. |
$ |
| |
Diamond Cut Free |
. |
|
| |
White Diamond cut $10 |
|
$ |
| #4 |
Subtotal (Please add Total from Box #1 to Box #3 |
. |
$ |
| |
|
|
|
| |
S&H (Priority $20 |
. |
$ |
| |
|
|
|
| #5 |
Total Amount |
. |
$ |
|
|
|
|
|
|
|
|
CUSTOM DESIGN ORDER FORM
step 1: Click on the order from that is on top of the home page then print the order form.
step 2: Fill out the information, design what kind of gold teeth you want and pay with money Order.
*A. Money order : Send us the money order with the order form and then we will send you back the molding kit. After you make the mold send it to us.
>14kgoldteeth.com
PO BOX 3280 McDonough, GA 30253
|
|
Name:_________________________________________________________________
Address:______________________________________________________________
Phone: ( )_____________________________________________________________
Gold Teeth Style Number (can be found next to sample picture.):____________________
Gold Teeth Design. (If you have any special design request, please draw your design below)
Special Request_________________________________________________________
_____________________________________________________________________
|
|
|
| |
| Step |
Description |
Quantity |
Total |
| #1 |
Molding Kit. $20/each (How many Molding Kit do you need?) |
. |
$ |
| |
|
|
|
| #2 |
Gold Teeth (Check the color! How many gold teeth do you want?) |
|
|
| |
(Yellow or White) 10KGold, $35 / each |
.
|
$ |
| |
(Yellow or White) 14KGold, $45 / each |
. |
$ |
| |
(Yellow) 18KGold, $55 / each |
. |
$ |
| |
|
|
|
| #3 |
Letter/Initial Free |
. |
|
| |
Vampire Fang $10/ each |
. |
$ |
| |
Diamond Cut Free |
. |
|
| |
White Diamond cut $10 |
|
$ |
| #4 |
Subtotal (Please add Total from Box #1 to Box #3 |
. |
$ |
| |
|
|
|
| |
S&H (Priority $20 |
. |
$ |
| |
|
|
|
| #5 |
Total Amount |
. |
$ |
|
|
|
|
|
|
|
