mlgcreations Order Form

Please Note: This is NOT an electronic form.
You may order personalized Initial Brooches by fax or telephone.
Please fill in the desired initials, subtotal, add shipping, insurance and gift wrap costs, add in the French Banking Commission fee, then print out this page, and fax or call your order in to us.

Thank you for visiting mlgcreations!
Mary Louise Gallaway


Your e-mail address

Shipping Address :

City, State, Zip
Country & Code
Billing Address :

City, State, Zip
Country & Code
Phone Number
Fax Number
Initial Sequence/Order of Initials Price @ US $50 Total
First Letter, Brooch 1
Second Letter, Brooch 1
Third Letter, Brooch 1
First Letter, Brooch 2
Second Letter, Brooch 2

Third Letter, Brooch 2

French Banking Commission 
International Shipping & Insurance @ US $20.00  
If you have any questions regarding your order, feel free to email us. Please fax or mail form with payment to:

Mary Louise Gallaway
102 Boulevard du Maréchal de Lattre de Tassigny
92150 Suresnes France
Tel: +331
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