Please print this form and fill in information where needed. Mail it to the following address with your check or money order:

Eunique's, Inc.

P.O. Box 8374

Langly Park, MD 20787-8374

If you require further information on any product or how to order, feel free to contact us toll free at 1-800-375-4313 or send email to eubie21@prodigy.net. Thank you!

Please enter the items and prices of pieces you would like to order:Item    Price

Please mark your form of payment:Check Money Order

Please enter your mailing address information. (Please indicate shipping and billing addresses if you are entering a shipping address other than your own.)

*Phone
*(this is needed for us to call you back confirming your order)