• Jewel Garden Mail Order Form

    Directions:

    • PRINT This is a form to be printed and filled out
    • FILL OUT Be sure to include your name and address
    • MAILTo the address at the bottom of the page

    Thank you for your order!

    Order Form:

    Your Name
    Address 1
    Address 2
    City/Town
    State Zip
    Email*
    Phone*

    *The Email and Phone will help me communicate with you.
    I DO NOT pass on this information to third parties *

     Item  Price  Quantity  Total
     The Christmas Pickle Ornament  58.00    
     Mouse Ring ~ Sterling..........SIZE  25.00    
     Mouse Ring ~ 14K Gold..........SIZE  115.00    
     Lover's Puzzle Ring ~ Sterling..........SIZE  85.00    
     Lover's Puzzle Ring ~ 14K Gold..........SIZE  795.00    
     Conscience Earrings ~ Sterling  65.00    
     Conscience Earrings ~ 14K Gold  295.00    
     SUBTOTAL   
     Virginia Residents must add 5% state sales tax  
      ..... For orders UP TO $100 add 6.15
    For orders OVER $100, click on the link to go to a Shipping Calculator    		  
      TOTAL   

    I accept checks, which must clear, and Money Orders
    Please print this form and mail with payment to:

    PD CROWE ~ JEWEL GARDEN
    12152 Beaverwood Place
    Woodbridge, VA 22192

    Thank you for your order !
    Please tell your friends about this site
    Be sure to stop in again to see the changes we make as we grow.



    I'd prefer to use the CCNOW Credit Card Format

    I'd prefer to use my PAYPAL account



    Go To WWW.JEWEL-GARDEN.COM