Order Form

The information you are about to submit is for the use by Print Gems Sales & Services. only. We do not sell or otherwise distribute information you submit. You will be contacted by e-mail, telephone or fax to confirm your order. We ship via USPS. If other than USPS ground service inside the continental U.S. is required or requested, we will advise you of the shipping charges and await your approval before proceeding with the order. Thank you for shopping with us!

Item          
Number Size Description Qty Amt Ea Amt TL

Add a $5.00 shipping fee to all orders under $50.00
Add a 7% Sales Tax to all shipments to Florida.

 
PURCHASER
Your Name
 
CREDIT CARD (Information as appears on card)
 
Cardholder name
Card Number
Expiration date (month, year, as in 09/02)
 
CREDIT CARD BILLING ADDRESS (As appears on monthly credit card statement)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
 
CONTACT INFORMATION
Your Telephone
Your Fax
Your E-Mail
 
SHIP TO( If different from credit card billing address)
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Telephone
 
COMMENTS, QUESTIONS OR SPECIAL INSTRUCTIONS
(Please indicate if you require other than USPS ground service- we will
advise you of shipping cost and obtain your approval prior to shipment)
 

We recommend that you print a copy of this form for your records.




Order form for ordering products from Print Gems Sales & Services.