| Hawaiian Jewelry Repair Form | |||||||||
| Please fill out form below, print out, and mail in with your jewelry | |||||||||
|
|||||||||
|
|
QTY | Repair Charge | Total | |||||
|
|||||||||
|
|||||||||
|
|||||||||
|
|||||||||
|
|
||||||||
|
|||||||||
|
||||||||||||||||||||||||||
|
||||
|
||||
| CREDIT CARD - VISA, MC, AMERICAN EXPRESS, DISCOVER & JCB | ||||
| Type of card: | ||||
| Card Number: | ||||
| CVV Number: | ||||
| Expiration Date: | ||||
| Name on Card: | ||||
| Signature: |
|
| Print out this form and mail your jewelry to the following address. Your jewelry must be mailed in a box and must be INSURED. We recommend USPS Priority Mail Insured. You must notify us via email when you are shipping the item: |
| Z.G. Hawaii |
| 415 Dairy Road Suite E-340 |
| Kahului, Hawaii 96732 |
| Tel: 808-225-7357 |