CELIBI TRADING

7944 Diamond Rock Way * Suite 102 * Las Vegas, NV 89128 * Tel. No. (702)285-8008 * Email: info@celibi.com

 

 

     MAIL ORDER FORM

 

     DATE     :

 

     SHIP TO:

 

 

 

     BILL TO:

 

 

 

 

 QTY.  SIZE      ITEM#                  BRIEF DESCRIPTION                   PRICE    TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                       SUB-TOTAL

                       ADD: Shipping and Handling             $ 9.95

 

                       T O T A L

 

Thank you for your order!

Please make check payable to RIZA HONIG