PLEASE PRINT AND FAX TO : 805-646-3094

Check here if this is your first order with us.

Step 1: My Information

Customer I.D.#
Email address*
Business Name*
Contact Name*
Phone*
()-
Fax
()-
Address* (Shipping; Billing; Both)
City*
State/Province* 
Zip/Postal Code*
Country*
Blanks with * must be filled out.

Step 2: Method of Payment

Charge to my:

Sending Check
MasterCard
Visa
Exp. Date 
Credit Card Number
 


Credit card billing address:

 
(required for VISA or Mastercard orders)
Name as it appears on card
 
Address
 
City
 
State
Zip
If paying by credit card, the shipping address and the billing address must be the same
 

Step 3: Shipping

Hold order until complete
Send now, and backorder items not available
Ship now, don't backorder
Call me if any items aren't in stock

Select one:

Not all shipping options are available in all areas.


Prices are subject to change without notice.
Order# Qty. Description Unit Price TOTAL PRICE
1.
2.
3.
4.
5.
Subtotal: $
Tax:
7.25% California State Tax
$
Estimated Shipping: $

Insurance:

 $
Handling:
Prepaid orders add $1.50
COD orders add $7.50
International orders add $3.50
$
Total Order: $
Additional Comments about this order:

 

For comments or questions please e-mail Meg Easling at GemQuest Jewelers

 


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GemQuest Jewelers
P.O. Box 1509 Ojai, CA 93024 USA

tel 805-646-3836
800-692-GAYA (4292)
fax 805-646-3094
gemquest@west.net

Ojai Chamber
of Commerce