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  • 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, $40 / each

    .

    $
        (Yellow or White) 14KGold, $50 / each . $
        (Yellow) 18KGold, $60 / each . $
       Silver  $15/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, $40 / each

    .

    $
        (Yellow or White) 14KGold, $50 / each . $
        (Yellow) 18KGold, $60 / each . $
       Silver  $15/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 . $

     


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