Welcome to Erotic Jewellery

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Important Notes:

For the Kleavet range,
please specify cup size.

Product Order Form

You can choose between three very convenient ways to purchase:

Fill-in the 'Product Order Form' and press the Submit button to e-mail us you order with your Credit Cards Details.
Please note that sending your Credit Card details through the Net is not secured and that it is at your own risk.

International Phone +61 8 9525 4220 or From Australia Phone (08) 9525 4220

International Fax +61 8 9525 4220 or From Australia Fax (08) 9525 4220

Products	Stone Colour	9ct	S/S	18ct	Qty	AUS$

			Postage & Handling	$7.50	T.B.A.
			TOTAL

	Payment Method Enclose your personal/bank cheque, money order or charge card information as indicated below (Please do not send cash).
	Master Card VisaBankcard
Card Account Number:
Expiry Date:	(if applicable)
	Money Order Cheque (Payable to Erotic Jewellery Co.)
Amount Enclosed:	(Please specify US$* or AUS$)*

Name:
Address:

City:	State:
Zip Code:	Country:
Phone:
Fax:
Email: