Billing

First name *

Last name *

Company name (optional)

Country / Region *

Street address *

Apartment, suite, unit, etc. (optional)

Town / City *

State *

ZIP Code *

Phone *

Email address *

First name *

Last name *

Company name (optional)

Country / Region *

Street address *

Apartment, suite, unit, etc. (optional)

Town / City *

State *

ZIP Code *

Order notes (optional)

Product Subtotal

"Bijoux Indiscrets Black/Grey Rhinestone Body Jewelry – Flamboyant Decorations" × 1 $17.69

Subtotal $17.69

Shipping	Flat rate: $10.00

Total $27.69

Update TotalsUpdate totals