JemzJewellery.co.uk Mail Order Form

To order by mail please print this form, complete and send to:

JEMZ, Applecroft, Willow Court, Willian, SG6 2GA, UK

NAME____________________________________________ DATE_______________

ADDRESS_____________________________________________________________

_____________________________________________________________________

POST/ZIP CODE________________COUNTRY______________________________

CONTACT PHONE NUMBER OR E-MAIL___________________________________

CODE NO     QUANTITY    DESCRIPTION                      PRICE EACH    TOTAL
_______     ______      _______________________________  £________     £__________
_______     ______      _______________________________  £________     £__________
_______     ______      _______________________________  £________     £__________
_______     ______      _______________________________  £________     £__________
_______     ______      _______________________________  £________     £__________

UK postage FREE on orders valued £30 or over. All overseas postage £4.50 GBP

SUB TOTAL £___________________

POSTAGE £___________________

TOTAL £___________________

I wish to pay by cheque [ UK BUYERS ONLY ] made payable to JEMZ

I wish to pay by Credit Card Number______________________________________

CARD START DATE________

CARD EXPIRY DATE________

CARD SECURITY CODE________ (last 3 digits on signature strip)

SIGNATURE________________________________________