Order Form for HGMS Cabochon Templates (click images for larger view)
Print this form to order		Order Quantity
	Template #1: Marquise cut
	Template #2: 1 x 1 Tongue
	Template #3: 1 x 2 Tongue
	Template #4:
	Template #5:
	Template #6:
Price for any 1 template:	$5.75
Price for any 2 templates:	$10.50
Price for any 3 templates:	$15.25
Price for any 4 templates:	$20.00
Price for any 5 templates:	$24.75
Price for all 6 templates:	$29.50
Tax, handling, and postage are included in all pricing above.   Print this form and indicate which templates you want to order; enclose payment by check or money order made out to "Houston Gem and Mineral Society."  Mail to:    Houston Gem and Mineral Society                10805 Brooklet                Houston, TX 77099 Attention:  Lapidary Section Shipment will be made within 30 days of receiving your order.		Payment   amount enclosed: