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  • CUSTOM  DESIGN ORDER FORM

    step 1: Click on the order from that is on top of the home page then print the order form.

    step 2: Fill out the information, design what kind of gold teeth you want and pay with credit card or money Order.

    *A. credit card :   Click on the Quick Payment that is on the top of the home page. pay the total price and  will send you the molding kit.  Then send us the mold with the completed order form.  If you already have a mold you can send it  with the order form.

    *B. Money order :  Send us the money order with the order form and then we will send you back the molding kit.  After you make the mold send it to us.

        >14kgoldteeth.com

           PO BOX 3280   McDonough, GA 30253

     

  • Name:_________________________________________________________________
    Address:______________________________________________________________
    Phone: ( )_____________________________________________________________
    Gold Teeth Style Number (can be found next to sample picture.):____________________
    Gold Teeth Design. (If you have any special design request, please draw your design below)
    Special Request_________________________________________________________
    _____________________________________________________________________


     

     
    Step                                         Description Quantity           Total
     #1  Molding Kit. $20/each (How many Molding Kit do you need?) . $
           
     #2  Gold Teeth (Check the color! How many gold teeth do you want?)     
        (Yellow/White) 10KGold, $30 / each

    .

    $
        (Yellow/White) 14KGold, $40 / each . $
        (Yellow) 18KGold, $50 / each . $
           
     #3   Letter/Initial Free .  
        Vampire Fang $10/ each . $
        Diamond Cut Free .  
           
     #4   Subtotal (Please add Total from Box #1    to Box #3 . $
           
        S&H (Priority $10 ,  Express $30 . $
           
     #5   Total Amount . $

     

     

  • CUSTOM  DESIGN ORDER FORM

    step 1: Click on the order from that is on top of the home page then print the order form.

    step 2: Fill out the information, design what kind of gold teeth you want and pay with credit card or money Order.

    *A. credit card :   Click on the Quick Payment that is on the top of the home page. pay the total price and  will send you the molding kit.  Then send us the mold with the completed order form.  If you already have a mold you can send it  with the order form.

    *B. Money order :  Send us the money order with the order form and then we will send you back the molding kit.  After you make the mold send it to us.

        >14kgoldteeth.com

           PO BOX 3280   McDonough, GA 30253

     

  • Name:_________________________________________________________________
    Address:______________________________________________________________
    Phone: ( )_____________________________________________________________
    Gold Teeth Style Number (can be found next to sample picture.):____________________
    Gold Teeth Design. (If you have any special design request, please draw your design below)
    Special Request_________________________________________________________
    _____________________________________________________________________


     

     
    Step                                         Description Quantity           Total
     #1  Molding Kit. $20/each (How many Molding Kit do you need?) . $
           
     #2  Gold Teeth (Check the color! How many gold teeth do you want?)     
        (Yellow/White) 10KGold, $30 / each

    .

    $
        (Yellow/White) 14KGold, $40 / each . $
        (Yellow) 18KGold, $50 / each . $
           
     #3   Letter/Initial Free .  
        Vampire Fang $10/ each . $
        Diamond Cut Free .  
           
     #4   Subtotal (Please add Total from Box #1    to Box #3 . $
           
        S&H (Priority $10 ,  Express $30 . $
           
     #5   Total Amount . $

     


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