ORDER #
CATALOG NAME		 DESCRIPTION
(include length if bracelet)		 STERLING SILVER,
14K, 18K, or
PLATINUM		 If GOLD:
2 Tone, 3 Tone, Pink,
White or Yellow		 RING
SIZE*		 QTY. PRICE
EACH		 SUBTOTAL
1.
2.
3.
4.
5.
SUBTOTAL
7.75% sales tax
(CA orders only)
INSURANCE & SHIPPING
(See chart below)
Engraving
charge
TOTAL
* If the price of your ring size is not specified,
please inquire about availability. Most gold rings are available in quarter half and whole sizes.
LAY AWAY
(see below)
Deposit $
Months to pay

SPECIAL INSTRUCTIONS
    Engraving
    ($1 per character / $5 minimum):

    Other:

INSURANCE & SHIPPING
    Up to $100.00......$7.50                                                                              
    $100.00 - $500.00 ....$10.50                                                                               
    $500 - $1000 ....$15.50
    plus .50 for each $100 of amount over $1000                                                                           
    add $5.00 for 3 Day Air                                                                            
    add $10 for 2 Day Air                                                                             
    add $15 for Next Business Day Air                                                       
    Canada only (mandatory) add  $12.50                                                        
    Other International add $18.50

Please Allow 2-3 Weeks For Delivery

Is there a date/event before which you would like to recieve your order?
Date:

Email:

Name:

Street: Unit/Apt #

City: State: Zip:

Telephone: - -

Method of payment:

Card Number:

Expiration Date:

800 customer service number from back of card:

Today's Date:

How did you hear about us?

LAY AWAY PLAN
With a minimum deposit of 20% of the total, your balance can be spread out in a maximum of 6 subsequent equal monthly payments. You will receive a reminder in the mail each month and of course, you may pay your full balance early.

OUR GUARANTEE
We assure complete satisfaction on all our jewelry. If you are not completely satisfied for any reason, return it within 30 days for a replacement, credit, or a full refund on the merchandise amount.

THANK YOU FOR YOUR ORDER !!