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Name
E-mail
Phone (req. for UPS orders)
Address
City
State/Province (2 letter code)
ZIP code (& country if outside NA)
Shipping method (Post or UPS): Post   UPS
 Payment Method (US Funds) Check MO Visa/Master Card
Product Code  Weight Price per Kg TOTAL

 Kg $

 Kg $

 Kg $

 Kg $

 Kg $

 Kg $

 Kg $

 Kg $

 Kg $

 Kg $

Total Weight

Kg

SUBTOTAL
Discount Chart (applies only to rings)

 Ring Total

 Discount

 $0-$99US

0%

$100-$199

10%

 $200-$399

15%

 $400 plus

 Please ask

 Discount % or $

Shipping (Post)

Shipping (UPS) 

TOTAL with Post

TOTAL with UPS

Now would be a good time to print this page for your records - sending me a copy will minimize the chance for shipping errors.
As soon as I receive your order I will email an electronic Invoice. This is your chance to make sure there are no errors.
The Electronic invoice can also be used in place of printing the first part of this page.

The page above the line is designed to print on 1 page. Save paper and print from page 1 to page 1 on your print set-up.


Comments, Questions, Suggestions - the webpage is new please critic it.

If I do not reply within 2 days then something happened and I did not receive this form.

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