Laurel Springs School Order Form

 

Main Page • Gem Prices

» Step 3 - Place Order

Note: Red text denotes required information

Your Name:
Mailing Address:
City:
State:
Zip/Postal Code:
Telephone:
Fax:
E-Mail:
Privacy: All information is for internal use only.
We will not share your information with any third party.


Your ring size
Choose a band
Choose a metal
If gold, what color of gold
Gemstone number (e.g. 10C)
Gemstone name (e.g. Ruby)


PRICE (US$)
 
Ring:
 $
Gemstone:
 $
 
Shipping and Handling
  
USPS within US
 $ 15.00
SUB TOTAL:
 $
7.25% tax if in California:
 $
TOTAL:
 $
   
50% or 100% down payment:
 $
   
How would you like to pay?

Amount must be paid in full prior to shipment

Additional Comments:

Please call 805-646-3836 to provide credit card number.
This form is NOT secure for credit card processing.

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Main Page • Gem Prices

Gem Quest Jewelers
108 N. Signal St. Ojai, CA 93023
Mailing address: POBox 1509, Ojai, CA 93024
Tel: (805) 646-3836 - Fax: (805) 646-3094 - Email