Gift & Bridal Registry
Bella Cosa
250 Harvard Ave.
Claremont, CA 91711
909.626.2303
909.626.0380 (fax)
contact@bellacosa.com

You may complete this form on-line and email it to us (by pressing the submit button at the bottom of this page), or download a blank form and fill it out by hand and then fax, mail or bring it into the store.
Gift Registry Form		download blank form
Name(s):	*
Phone:	*	E-mail:*
Event:	Wedding    Anniversary    Birthday    Other:
Event Location:
Date:		Time:
*required

Gift Items:
	Qty	Item Description(please include size and color if applicable)
1)
2)
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**You may include an unlimited number of items in your registry. Submit multiple forms to include more items.

View gift registries