[ Office Use ] 
After First Payment Is Received, We Will Assign You An Account Number And Send You A Email Receipt With Each Payment Received.

MANDATORY SHIPPING INSURANCE COVERAGE:

$ 00.00 TO $300.00    ADD $4.00

$300.01 TO $600.00  ADD $8.00  

$600.01 TO $1,000    ADD $11.00

$1,000.01 AND ABOVE $11.00 PLUS $1.00 FOR EACH ADDITIONAL $100.00

MAKE CHECK OR MONEY ORDER OUT TO LEBAUBLES

SEND PAYMENT TOO:

LEBAUBLES JEWELRY

P.O BOX 707

DAHLONEGA, GA. 30533