Shipping Information
Name________________________________________________________________
Mailing Address _______________________________________________________ _______________________________________________________ City______________________________________ State_______ Zip ___________ Phone (day)_________________________ (eve) ___________________________ email (please print clearly) ____________________________________________    
Billing Information
How would you like to pay for this order?
____ Check to Wisdom Stones (email me with total including shipping and handling.) ____ Master Card ____ Visa (email me to inform me of total including shipping and handling. Name as it appears on card (please print) __________________________________________ Card address including zip if different from above __________________________________ ________________________________________________________________________________ Card number __________________________________________ Expires ______/______ Security code (last 3 digits in number by the signature strip on back of card) ___________ Signature _________________________________________________ Date ____________
Wisdom Stones, LLC 360
Lone Star Road, Lyons, CO 80540
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