Please fill in the below form correctly to place an order of the items to the charimaindia.
 

Personal Information 
(
*)
Indicates a mandatory field.

* First Name
* Last Name

* Address:    

 

   Street

   City

   State

   Zip 

* Day Telephone
 (please include area code)

* Evening Telephone
 (please include area code)

   E-mail


 


ORDER INFORMATION

* First Item
Type: Code # List Price $
  Second Item
Type: Code # List Price $
   Third Item
Type: Code # List Price $
   Fourth Item
Type: Code # List Price $
   Fifth Item
Type: Code # List Price $


 


METHOD OF PAYMENT


Personal Check
(Requires 10 days to clear)

Cashiers Check
Money Order


      After submitting your order, please wait to be contacted by Charisma. You will receive confirmation of your purchase, a bill for the total amount due including shipping and handling & payment instructions.

        Thank you for choosing CHARISMA. We look forward to serving you now and in the future.
 


www.charismaindia.com