Floating Diamonds 
A Michael Wendy Group Company - P.O. Box 2828, Bellaire, TX 77402-2828
Tel: Toll Free 1-888-932-3688 or 713-782-9300
Fax: 713-782-1775
http://www.coolthing.com/floatingdiamonds

FLOATING DIAMONDS ORDER FORM

Instructions: 
Type or write in your order.  Print the page then fax or mail in order.
Pay by major credit cards, cash, check, or money order.  
Make checks to "The Michael Wendy Group".

Name
Shipping Address
Shipping City, State, Zip
Phone Number
E-mail Address
How did you hear about us?
Billing Address
Billing City, State, Zip
Credit Card Type
Credit Card Number
Expiration Date
Billing Address and Zip
Products
Items and quantities (use new sheet if needed)
Total Price
Comments