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Item(s) to be Shipped (Leave Blank will be completed for you) Item Number Item Name
Do Not Ship Until: (Specify Date, otherwise leave blank for immediate shipment) ________/________/_________ Recipient Information Name (First Last): Address 1: Address 2: City: State: Zip Code: Country: USA Phone:** **some shipping services require a recipient phone number Gift Message (if applicable):
Send Gift Anonymously? Yes No Gift Wrap Item? ($2.00 additional charge) Yes No Occasion (if applicable): Birthday Wedding Anniversary Graduate Sweet 16/Quinceanera Congratulations Christmas Hanukkah New Year Valentine Get Well Other: _____________________
Markalino Jewelry
Domestic Shipping Request Form Select Service (Rates are based on rates provided by each shipping service) Carrier Service First Class Priority Express Timeframe 2-3 Days 2 Days 1 Day Cost $3.99 $5.15 $39.95
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Please email shipping receipts to me at the email address specified on the other side of this form. Please have shipping receipts mailed to me at the following address:
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