Fax and Mail Order Form

Name:	
   
   
Address:    
   
   
   
   
 
E-mail Address:
   
   
   Payment Methods:
Check 
Money Order 
C.O.D. 
Credit Card: 		
   
If paying by Credit Card, please fill in the following information:
   
   Credit Card Type: please check one 
Visa 
Master Card 
				
   
Credit Card Number:	  Exp. Date: 
Name on Card:		   
   
Signature:		_____________________________
   

  Please Print out &
 List Items to Order Below:

   
   Earrings/Necklaces:
      
   
   
   

   
   Earcuffs:
      
   
   
   

   
   Music/Video:
CD's $15.00
Tapes $9.00
Video $19.00
   
   
   
   

   
   Shipping
In the US add $3.00 for shipping;
   

International orders add $6.00 for shipping.
   

   
   Total
      

   Please allow 2-4 weeks for delivery.
      
Note:  If paying by check or money order, only checks or money orders drawn 
from US banks will be accepted....
   
   Make checks payable to "Sozra Studio"
Your purchase will be sent promptly ~If you need it rushed let us know~

Many Thanks!
Have a Fabulous Day!

Sincerely,
John & Debby Sosnowsky
Sozra Studio On-Line