| Hawaiian Jewelry Fax or Mail Order Form | |||||||||
| Please fill out form below, print out, and fax or mail to address at the bottom | |||||||||
| For questions please go to our Contact Page | |||||||||
| Our jewelry homepage: Hawaiian Jewelry Store | |||||||||
FAX order line:
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| Item # | DESCRIPTION | Name/initial to be engraved/enameled (custom orders only) |
QTY | Size |
UNIT PRICE |
TOTAL | |||
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| Extra charges: (larger sizing, white gold) | |||||||||
| Hawaiian Gift Card: (enclose a card with your order) add $3.00 | |||||||||
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| CREDIT CARD - VISA, MC, AMERICAN EXPRESS, DISCOVER & JCB | ||||
| Type of card: | ||||
| Card Number: | ||||
| CVV Number: | ||||
| Expiration Date: | ||||
| Name on Card: | ||||
| Signature: |
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| Print out this form and fax or mail to: |
| Z.G. Hawaii |
| 415 Dairy Road Suite E340 |
| Kahului, HI 96732 |
| Tel: 808-225-7357 |
| FAX order line: 1 (847) 235-4455 |
| Toll Free FAX: 800 805-4404 |