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"A Jewelry Queen" Order Form
10% Off For Orders Over $50

5 Easy Ways to Order - Credit Cards accepted: 

    1. By Phone:  Call us at: 1-888-813-0623 (Toll Free) or 1-949-829-0705 
    2. By Fax:  Fill out the following forms, Print it out, and Fax to: 1-888-813-0623 (Toll Free) or 1-949-829-0705
    3. By Email: ajewelryqueen@yahoo.com
    4. By Regular Mail:  Mail payment to: "A Jewelry Queen", P.O. Box 2804, Mission Viejo, CA 92690
    5. PayPal:  My account name is the same as my email:  “AJewelryQueen@yahoo.com”


Customer Information 

          Name:  
 eMail Address:  
  Phone Number:   
Street Address:  
          City:   State:   Zip Code:  
       Country: 
  

Payment Information
                    Payment:
Name on Credit Card: 
 Credit Card Number: 
                  Expiration: 

 *Make check or money order payable to: "A Jewelry Queen"

  Comments, Shipping Instructions, etc...

How did you find us? 

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 Description

 Quantity

 Price

 Total

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 Subtotal*

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Extra 10% Off if Subtotal Over $50

$

 

 

 

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New Subtotal

$

 

 

 California Residents only

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 Tax 7.50%

$

 

 

 

Grand Total

$

 


*"Free Shipping" For All Orders 

 

 

 

 

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Home  Pin Earrings  Necklace Sets   Bracelet Sterling   24ktGoldOverSterling Disney
Order  Designer Name Brand Jewelry