Calm Spirit/Ying Yu Jade Layaway Purchase Order Form
Please use this secure form to complete your order.

You will need the EXACT item numbers and price to use this check out form.

Email address

Item number Price

Item number Price

Item number Price

Item number Price

Item number Price

Item number Price

 

Additional items list number and price here:

Your Name

Shipping address

City

State

Zip Code

Country

Phone number

Email address

Credit card type

Credit card number

Expiration date: Month Year

Name as it appears on credit card
Card code: (3-or-4 digit security code that is printed on the back of card at the end of the signature panel

Address for credit card billing (if different from mailing address)

Ship to name and address if different:

Comments, questions or instructions

 

Do you want a certificate? ($35) Name the items you want certificate for in the comments box.

 

The next screen is confirmation your layaway order has been received.
Money order instructions: Payable to Kathleen Knoderer and mailed to 2901 Limpkin Lane, Kissimmee, FL 34746. Mail money order by December 15

You can print this form for your records

Thanks!