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HELION PUBLISHING FAXABLE ORDER FORM
to Fax 1-918-583-0023

or call for questions 1-800-223-2456

PRINT ORDER FORM

Minimum Order $50.00

Store Name______________________________  Tax ID#________________State___ or Fed____
Contact Name___________________________  
Address (street)_________________________ City __________________ State_________ Zip_____
Phone______________________ Fax______________________
Credit Card ________________________________ Expiration Date________
SHIP: Prepaid ____ C.O.D. ____ (All shipments UPS), Delivery: Residential ___ Commercial ___
Credit Card: _______________ Number: ____________________________ Exp: ____ ___

Amt

Cloak Fasteners

Amt

Chatelains

Amt

Pins

Gold tone

Tree of Life

F1  

Tree of Life

C1

Tree of Life

P1

Thistle

F2  

Greenman

C2

Greenman

P2

Wolf

F3  

Wolf

C3

Wolf

P3

Fairy

F4  

Fairy

C4

Fairy

P4

Dragon

F5  

Dragon

C5

Dragon

P5
Polished Pewter

Tree of Life

F6  

Tree of Life

C6

Tree of Life

P6

Thistle

F7  

Greenman

C7

Greenman

P7

Wolf

F8  

Wolf

C8

Wolf

P8

Fairy

F9  

Fairy

C9

Fairy

P9

Dragon

F10  

Dragon

C10

Dragon

P10
   
Back to Top Call for Help: 1-800-223-2456
PRINT ORDER FORM Fax to: 1-918-583-0023