Print & Mail Order to N.J.J. | 631 N High Street | Lancaster, OH 43130
100% Satisfaction Guarantee | 100% 30-day Exchange & Return
Local (740) 689-0622 | Fax Order (740) 689-0622 *9
B I L L I N G   A D D R E S S *REQUIRED
 As on check or credit card billing statement.

 

 S H I P P I N G   A D D R E S S
*Can only be shipped to you directly.

 

 
 

C O N T A C T  Phone *REQUIRED
                                                         (_____) ____________ DAY (_____) ____________ EVE

Billing E-mail: ____________________________@______________________________
Add me to E-mail newsletter list? YES | NO
How did you hear about us? _______________________________________________
 
 
S H I P P I N G
We ship within the U.S.A., U.S.A. Territories, U.S. Military Bases, & Canada.
U.S. & Canada Priority Insured Mail
 
MCVisaDisc C R E D I T   C A R D  MC | Visa  | DISC/Novus 
  
Name On Card: __________________________*REQUIRED Expiration Date: _________ *REQUIRED
SECURITY #: _________ *REQUIRED [# on back of card]
  
I agree to this purchase. Your Signature: ______________________________ *REQUIRED
   
 
C H E C K  *Personal Check  | Business Check  | Money Order
CK NEEDS PHYSICAL ADDRESS NOT PO BOX | NO TEMP/START CK  | NSF CK SUBJECT TO FEES

 Driver's License #: ____________________________________   Issuing State: _______ *REQUIRED
 
  
  ITEM NUMBER

  NAME/ ITEM DESCRIPTION
 *Remember Specifications: Color, Style, & Size

QTY  

  TOTAL
       
       
       
 
    Additional items on back of page    
   

Subtotal

 

If you are an OH Resident, add 5.75% tax

 

Handling- Add $1.00 & Base Shipping Rate- Add $3.85

4.85

Shipping- Add $.30 for every additional item after three

  

Total Balance Enclosed

  

Thank you for shopping at NewJerusalemJewelry.com