lia sophia - Vickie Bermea - Home by 80K7U4WW

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									                lia sophia Order Form – Necklace Sale
Vickie Bermea, Independent Advisor  (408) 832-3498  www.liasophia.com/VickieB vbermea@yahoo.com
  Date:                                               Hostess:

   Page#    Style #    Size               Item Name                          Price           Total
                                                                                                            Full Price
                                                                                                            (least expensive)
                                                                                                            Full Price
                                                                                                            (least expensive)
                                                                                                            1/2 Price
                                                                                                            (most expensive)
                                                                                                            1/2 Price
                                                                                                            Necklace
                                                                                                            1/2 Price
                                                                                                            Necklace
                                                                                                            1/2 Price
                                                                                                            Necklace
                                                                                                            Full Price
                                                                                                            (least expensive)
                                                                                                            Full Price
                                                                                                            (least expensive)
                                                                                                            1/2 Price
                                                                                                            (most expensive)
                                                                                                            1/2 Price
                                                                                                            Necklace
                                                                                                            1/2 Price
                                                                                                            Necklace
                                                                                                            1/2 Price
                                                                                                            Necklace

                Total Jewelry Purchase
                Shipping/Insurance                                                            $3.80
                Tax: ( Multiply Total + Shipping/Insurance by _______%)
                Total Due


Customer Name                                                      ○ Visa          ○ Master Card              ○ Discover
Phone
                                                              credit card number
Email

Address                                                        Exp. Date                                   amount

                                                              ___________________________________
City                                                          Signature
                                                              Please provide address and phone number. as it appears on statement.
State            Zip

 How interested are you in ...                                Not very .............................................When do we start!
 ○ Learning more about the lia sophia opportunity?             1     2     3         4        5         6         7   8    9 10
 ○ Having your own girls night out & earning free jewelry?     1     2     3         4        5         6         7   8    9 10
 ○ Would you like to receive updates on specials and events via my monthly e-newsletter?                       Yes  No
 ○ If your hostess tonight was starting her own lia sophia business, would you be willing help her out
   by hosting a party for her in the next 30 days?  Yes      No

								
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