Elite Jewelry Order Form
Please Print the form below and send it in to the address below.



Order Form Procedures: CHECK/MONEY ORDER/CASH: print order form, fill it out, and send it in along with your payment to the address in the box at the bottom left corner of this page.
 
Item # Details (Silver/Gold, Charm, and necklace) Quantity Price
. . . .
. . . .
. . . .
. Shipping Price : Total: .

If you live in Germany, Austria, or Switzerland click here


*Select your Shipping Method:

[ ] US Priority - $3.20
[ ] US Overnight Express - $15.00
[ ] INTERNATIONAL Air Mail - $6.36
[ ] INTERNATIONAL Express - $25.00

PLEASE MAIL TO
Elite Jewelry
Attn: Kwame Smith
166 W. 600 N.
Alexandria, IN 46001

Your Shipping/Contact Info:

Name: ____________________________________________________________________

Address (line 1): ____________________________________________________________

Address (line 2): ____________________________________________________________

City, Country: ______________________________________________________________

State, Zip Code: ____________________________________________________________

Email Address: _____________________________________________________________

If you are sending payment from outside of the United States, DO NOT send international funds, since we cannot do currency exchange. Please send concealed american funds, or an international money order ONLY, please.

If were referred to us by a one of our registered referrers please enter their ID# other wise put N/A: _________

Make all Money Orders payable to Kwame Smith.
If you are paying using a personal check we have to wait 7 days for it to clear.


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