Print this form, fill it out and send it in with your check or money order AND photograph

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Your Name

 

 

Your Address


 


 

Your Email


 

Your Phone #

 

 

Your Fax #

 

 

Pendant Style #

Quantity

Price

 

 

Extras
(check boxes that apply and add to price of pendant)

Engraving on Back, Up to 15 letters. Add $15.00

Color Enamel: Your pendant will be in color. Add $45.00

Check and Credit Card Information

Enter Your Check # here:

Enter Your Credit Card # here:

Credit Card Expiration Date:

Visa
Master Card
Discover
American Express

 

 

Shipping and Handling (add this to the price of your pendant)

$9.50   Priority Mail

$20.00  Overnight Delivery

$25.00   48 hour Rush Engraving

 

Special Instructions

 

 

Print this form and send it with your check or money order AND photograph(s) to:

IMAGES IN GOLD
3921 1/2 Wallingford Ave. North
Seattle, WA  98103

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