Heaven Sent Rosary Jewelry Order Form
www.heavensentrosaries.com
Heaven Sent Rosaries
320 High Street
Monroe, NY 10950






Name:                                                                                                                                                                         

Address:                                                                                                                                                                      

                                                                                                                                                                 

Phone#                                                                                                                                                                        

e-mail:                                                                                                                                                                         

Referred by:                                                                                                                                                                 

Comments/Questions:                                                                                                                                                        
      
                                                                                                                                                                   

  If this is a Christmas order of if there is a specific date you need your order by please let us know so that we can try to
accommodate your request.    
























*Please Note:  Payment by check or money order must be accompanied with all orders.  All credit card orders
are processed through PayPal or Google Checkout.  If paying through PayPal or Google Checkout, remember to
fill out e-mail address section of this order form, so that we may send you an invoice.                                             
                                                                   Thank You for Your Order.
    Important Shipping Instructions if your flowers are fresh:
  • Pack Flowers loosely with newspaper or paper towels.
  • Never use plastic to wrap flowers or plastic envelopes for shipping.
  • CHRISTMAS 2008 CUT-OFF IS OCTOBER 1ST.
Mail Orders to:
Heaven Sent Rosaries
320 High Street
Monroe, NY 10950
Quantity
 Item
 Color
 Chain
 Spacer
 Charm
 Price
             
             
             
             
             
             
  Add $5.00 for
Shipping &
Handling
  
Order Total
  
Please remember to add $5.00 for each multi-colored item (up to
three colors per item).