Great Impressions
Jewelry Order Form

Please mail your order form along with your check or credit card information to:

Glendale Foundation For The Retarded
6512 San Fernando Road
Glendale, CA 91201-2109

Orders paid by credit card may also be faxed to (818) 242-3010
or the necessary information may be sent by e-mail to info@garservices.org

For further information, please call, fax or send e-mail to:
Phone: (818) 242-2434       Fax: (818) 242-3010
Office Hours: 8 a.m. to 4 p.m. Monday - Friday
Email: info@garservices.org

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Item Quantity Description Price Total
101A ____ Bone N' Stone $31.95 _____.___
102A ____ Pearls, Black & Silver - Black $40.95 _____.___
102B ____ Pearls, Black & Silver - Red $40.95 _____.___
102C ____ Pearls, Black & Silver - Cobalt Blue $40.95 _____.___
103A ____ Red on Red $34.95 _____.___
104A ____ Pearls & Gold - 18" Gold $15.95 _____.___
104B ____ Pearls & Gold - 24" Gold $18.95 _____.___
104C ____ Pearls & Gold - 32" Gold $22.95 _____.___
105A ____ Pearls & Silver - 18" Silver $15.95 _____.___
105B ____ Pearls & Silver - 24" Silver $18.95 _____.___
105C ____ Pearls & Silver - 32" Silver $22.95 _____.___
106A ____ Glass & Silver - Royal Blue $36.95 _____.___
106B ____ Glass & Silver - Red $36.95 _____.___
    ***Spring 2002 Arrivals***    
107A ____ Amethyst & Garnet $29.95 _____.___
108A ____ Multi-Colored $24.95 _____.___
109A ____ Pearls N' Red $22.95 _____.___
Sub-total _____.___
Sales Tax (8.25%) _____.___
Shipping (add $4.00 if applicable) _____.___
Tax-deductible donation (optional) _____.___
TOTAL ENCLOSED _____.___

Each necklace is hand-crafted by adults with developmental disabilities.
A free gift box is included with each purchase.

Name _____________________________________________________________

Address ___________________________________________________________

City ______________________________________ State ___ Zip _____________

Phone (_____) _______________ Email _________________________________

[__] Please ship my jewelry [__] Hold for pick up

Please charge my credit card:

[__] Am/Ex [__] MasterCard [__] Visa

Card # _____________________________________________________________

Expiration Date ___/___ Signature _____________________________________

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