MoissaniteJewelry.com / Jewelers Studio
Secure Order Form
Credit Card orders over $900 must also be printed & faxed with signature

Don't worry! All info is reviewed before processing, If   there are any incomplete fields, mistakes or discrepancies we will contact you for the additional info we need.

JEWELRY
Quan	Item#	Description / Details / Gold Color	PRICE
		Special instructions or ring sizing. Standard  size usually 6 - 7	6-7 no preference ^ Fastest ^ - 14k Sizing (2-5 days) Size 4 +$10 Size 4½ +$10 Size 5 +$10 Size 5½ +$10 Size 6 Size 6½ +$10 Size 7 +$10 Size 7½ +$10 Size 8 +$10 Size 8½ +$15 Size 9 +$20 other, by estimate Platinum double 14k price
LOOSE STONES
Quantity		Size - Dia size - Shape - Price each
		Choose Shipping (includes insurance)	2-3 Day (USA) $19.95 Next Day (USA) $34.95 Canada $20.00 Other / by Estimate
		Total Price	Total

	BILLING
Credit card	VISA MasterCard Discover American Express
Cardholder name
Card number		Special order items are subject to a 15% restocking fee. Returns must be authorized & made within 1 week. Custom/modified items are NOT  returnable.
Expiration date
Signature   (required over $900)	______________________________________

	SHIPPING ADDRESS   Physical address for UPS  (No PO Boxes)	BILLING (if different)
Name
Address
City
State/Province
Zip/Postal code
Country
Phone
E-mail

Additional Comments or Special Instructions

 

Credit card orders over $900 must be sent by fax (or mail) with signature...
Orders over $1200 must also have a copy of the back of your credit card showing signature.
All information must be verifiable. All sales final.
Orders over $1800- certified funds, wire transfer, (or check, after clearance).
Special order items are subject to a 15% restocking fee. Custom / modified items are NOT returnable.