Glitterina Order Form

TYPE OR WRITE IN ALL YOUR INFORMATION PLUS THE ITEM NUMBER(S), SIZE(S) AND BRIEF DESCRIPTION OF THE ITEM(S). ONCE YOU ARE FINISHED, PRINT THIS PAGE AND MAIL IT WITH YOUR PAYMENT TO: GLITTERINA P.O. BOX 4713 WEST COVINA, CA 91791
THANK YOU!
Name:
Company(OPTIONAL)
Address:
City:
State:
Zip Code:
Country:
Phone Number:
Email Address:

Description Including Item #(s)& Size Quantity Price each Total
1
2
3
4
5
6
7
8
9
10
INSURANCE Total
  Sub Total: CA RESIDENTS ADD 8.25% SALES TAX:

See shipping rates chart below to figure your shipping total .
ADD $6.95 EXTRA FOR EACH SHOE ORDER 		Shipping:

  Total:

Shipping Rates Chart
All domestic orders are shipped U.S. Priority Mail with delivery confirmation . Express Airmail is also available upon request for an additional fee. International orders are shipped via AirMail. Global Express Airmail is also available upon request for an additional fee.
Domestic Rates PLEASE EMAIL glitterina@charter.net FOR *International Rates*
1 item......7.00 add 1.00 for every item after that
2 items.....8.00 Because of weight and size add $5.00 to items: 8885, V5903, 8926 in addition to original shipping cost.
3 items......9.00 PLEASE EMAIL FOR EXPRESS MAIL RATES
**INSURANCE IS AVAILABLE FOR USA RESIDENTS AND HIGHLY RECOMMENDED FOR INTERNATIONAL BUYERS**.
Insured up to 50.00....... add 1.30 Insured up to 100.00....... add 2.20
Insured up to 200.00......add 3.20 Insured up to 300.00...... add 4.20
**PLEASE MAIL YOUR PAYMENT TO
GLITTERINA
P.O. BOX 4713
WEST COVINA, CA
91791
THANK YOU FOR SHOPPING AT www.glitterina.com