Recipient Information:

Please keep my wish list on file.

Please let know that I have a wish list at Lakal Jewelers

via E-mail:

and to their mailing address:

Personal Information:

First M.I. Last

Address

City State Zip Code

Day Time Phone ( ) - Evening Phone ( ) - -

E-Mail

Occasion Date of Occasion

Jewelry I.D. Number

Additional comments or description: