Premier Designs Jewelry Order Form
Please visit my website at http://lynnb.mypremierdesigns.com to view the catalog. Please complete this order form when you've made your selections. I will email you an invoice to pay online.

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E-Mail Address *
Hostess or Event *
(note the hostess name, event fundraiser or mark as individual order)
Name *
Phone *
Shipping Address: *
Jewelry Item # and Name
Jewelry Item # and Name
Jewelry Item # and Name
Jewelry Item # and Name
Jewelry Item # and Name
Jewelry Item # and Name
Jewelry Item # and Name
I would like to have a fun girls day/night out so I can get FREE jewelry too! *
(Average hostess earns $150-$200 in free jewelry!)
How curious are you about the Premier Designs opportunity? *
Least
Most
Would you like to talk further about Premier & get a gift card? (No obligation, but we make 50%!) *
Would you like to be kept informed (via e-mail) of any future jewelry sample sales or specials? *
How would you like to pay? *
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