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L.A. CREATION FRANCAISE, INC. 1978 Monon Street Los Angeles, CA 90027-3261   Tél/Fax: (323) 6680102 Icons - Order Form art - decoration - gifts - jewelry - kitchen Last name First name Tel # : Fax # : Address : City     : Zip code Select payment : O Master -  O Visa  - O Certified check Card holder name : Card number and pincode : Expiration date : Item number Style Unit price Quantity Amount Adam and Eve   $39.00     Annunciation 1 $39.00     Annunciation 2 $39.00     Annunciation 3 $39.00     Nativity 1 $39.00     Nativity 2 $39.00     Nativity 3 $39.00     Nativity 4 $39.00     Camel caravan   $39.00     Three Wise Men   $39.00     Adoration of Magi   $39.00     Presentation of Jesus at the Temple 1 $39.00     Presentation of Jesus at the Temple 2 $39.00     Flight into Egypt   $39.00     Palm Day   $39.00     Last Supper Vertical $39.00     Last Supper Horizontal $39.00     Cruxifiction of Jesus   $39.00     Ascencion of Jesus to Heaven   $39.00     Pentecost   $39.00     Apostle   $39.00     Evangelist   $39.00     Evangelist   $39.00     Lovers   $39.00                          SUB TOTAL          Shipping & Handling         TOTAL         Sales tax (California residents add 8,25%) Shipping cost depends on destination.  Please contact us. Date Signature   Copyright © 1998-2008 L.A. Création Française Inc. - Tous droits réservés