International Marriage Consultants
Representative Agents Specialising in Lovely Ladies
from Ukraine, Russia and Neighbouring Nations

Please print the following Payment Form and send with your payment to HEAVENLY HEARTS© at the address given at the bottom of this document.

TOKENS OF LOVE


Payment Form

Please make your selection of the TOKENS OF LOVE you would like to send your lady by marking the square(s) next to the title of the required item.

Lady profile ID

Box of Chocolate (small): $20.00 U.S. each

Box of Chocolate (large): $30.00 U.S. each

Basket of Fruit (small): $30.00 U.S. each

Basket of Fruit (large): $50.00 U.S. each

Champagne: $20.00 U.S. each

Single Rose: $6.00 U.S. each

Single Flower: $3.00 U.S. each

Bouquet of Roses (small): $20.00 U.S. each

Bouquet of Roses (large): $40.00 U.S. each

Bouquet of Flowers (small): $15.00 U.S. each

Bouquet of Flowers (large): $30.00 U.S. each

Basket of flowers: $60.00 U.S. each

Perfume (small bottle): $50.00 U.S. each

Perfume (large bottle): $80.00 U.S. each

For all items pertaining to the type of jewellery, the type and size of clothing, as well as any other miscellaneous request, please consult us and we can make all the necessary arrangements.

Payment for items of jewellery, clothing and miscellaneous items can be made on-line after initial consultation with a HEAVENLY HEARTS© representative.

JewellryITEM:   
COST:$ U.S.
 
ClothingITEM:   
COST:$ U.S.
 
MiscellaneousITEM:    
COST:$ U.S.
DELIVERY $25.00 U.S. (Please add delivery charge when calculating total. If delivery is required to a special location, please contact us to obtain related cost.$15.00 U.S.
 TOTAL:$ U.S.

Your Details:

Name: _________________________________________________________________

Address: _______________________________________________________________

Country: _______________________________________________________________

Telephone number: ______________________________________________________

E-mail address: _________________________________________________________

Please indicate the type of payment you will be making:

Bank Cheque Money Order Personal Cheque

Please make payable to "HEAVENLY HEARTS" and send payment to:

HEAVENLY HEARTS

We will be in contact with you upon receipt of your payment.

Thank you from HEAVENLY HEARTS©