Purchase Form

Purchase Form

Please print and fill out the below page, make check or money order payable to, and send to:

Rhonda Shear
P.O. Box 2488
Beverly Hills, CA 90213

ORDER FORM:

Qty.	Item #	Description	Price







		SHIPPING	$ 6.00
		TOTAL PRICE

SHIP TO: Fill out below for shipping instructions.

NAME
ADDRESS
P.O. BOX, APT.
CITY
STATE
ZIP
E-MAIL

Thanks

Rhonda