ORDER  FORM      

Due to technical problems, Please CLICK HERE to use the
SECURE ORDER FORM on our other website.

	ITEM#	DESCRIPTION	PRICE
		Special instructions or ring sizing.  Standard usually size 6 ladies / size 10 mens.	Standard Smaller $5.00  Larger $10.00
		Choose Shipping (includes insurance)	UPS Ground $5.00  Priority $8.00  Express/Inter. $20.00
		Total Price with Shipping & Sizing	Total

	BILLING
Credit card	VISA  MasterCard  Discover Am Express
Cardholder name
Card number
Expiration date

	SHIPPING ADDRESS	BILLING (if different)
Address
City
State/Province
Zip/Postal code
Country
Phone
E-mail

Additional Comments or Special Instructions