Tibet Nepal Imports Printable Order Form

Order Form

Please print this page, fill in the appropriate information and send it to:


Name:__________________________________________________________________________________


Address:_______________________________________________________________________________


City:________________________________________________________ State:___________________ 


Zip Code:____________________  Telephone #:(____)________________________Ext:__________


E-Mail:________________________________________________________________________________


How did you find our site?_____________________________________________________________

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 Item #    Description and/or Type of Stone          Qty    Unit Price  Total Price

__________ ________________________________________ ______  __________  ____________


__________ ________________________________________ ______  __________  ____________


__________ ________________________________________ ______  __________  ____________


__________ ________________________________________ ______  __________  ____________


Please add 7.375% Sales Tax for orders shipped to a Nevada address__________________


                   	                                 TOTAL:_____________________ 
	
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! Important Notice - Please Read !
If your check or money order is not made out to C. Blum, we will have to return it to you, thus delaying your order.
All of the items we provide are handmade, therefore each item is unique.
There may be minor differences in the item pictured on the web site and the item you receive.
Customer satisfaction is guaranteed.