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PRINT & MAIL Or Fax     Mail To:    Southern Designs      P.O. Box 1246      Columbia, Ms 39429         Fax # 1-601-736-9520

 Style        Send Full Unit        White Gold       Yellow Gold
Jan  Feb Mar   Apr  May  June   July   Aug    Sept    Oct    Nov   Dec

Style        Send Full Unit        White Gold       Yellow Gold
Jan  Feb  Mar   Apr  May  June   July   Aug    Sept    Oct    Nov   Dec

Style        Send Full Unit        White Gold       Yellow Gold
Jan  Feb  Mar   Apr  May  June   July   Aug    Sept    Oct    Nov   Dec

Style        Send Full Unit        White Gold       Yellow Gold
Jan  Feb  Mar   Apr  May  June   July   Aug    Sept    Oct    Nov   Dec

Style        Send Full Unit        White Gold       Yellow Gold
Jan  Feb  Mar   Apr  May  June   July   Aug    Sept    Oct    Nov   Dec

Style        Send Full Unit        White Gold       Yellow Gold
Jan  Feb  Mar   Apr  May  June   July   Aug    Sept    Oct    Nov   Dec

Other Styles Or Notes:

Store Name     
 Address / P.O. Box
City     State     

Zip    Phone #        
E-Mail Address  

Send COD     Mail Check  
MAIL CHECK WITH ORDER. Take a 5% discount and shipping is free. To calculate your price, call or fax your order to 1-888-292-9656.
If no check is enclosed, we will send your order COD. "We pay COD fees"

Credit Card Sales      If you don't want to give credit card # , leave blank and call us with the card information.
Amex     Visa      Discover       Master Card
Card #        Exp. Date