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Date:
______________
Name:____________________________
Mailing
Address: _____________________________________________________________
Telephone
Number: _______________________
Finger
size: _________
Quality of ring: sterling silver =
, 10k white gold =
or 10k yellow gold
Quality of pendant: sterling silver =
, 10k white gold =
or 10k yellow gold
Cost
of item(s) selected: $___________ + shipping ($10.00 Maritimes, $20.00 Onta=
rio
and Quebec, $25.00 West) + HST (15% Nova Scotia, 13% NB, NFLD and Ontario, =
12%
BC, 5% PEI, Quebec, Manitoba, Sask. and Alberta) =3D $__________
Note:
To avoid a shipping charge, you can request that we send your order to a Ch=
arm
store near you for pick-up. For a complete list of Charm stores across
Choice
of Charm store to send your order: ________________________________________=
___________________________________________________________________________=
_______
Deposit:
cheque _____ or money order ____
Amount =3D $___________
(*
a minimum of 50% must be provided as a deposit) or you can supply your
Credit
card information: Visa _______.Mastercard _______ American Express _______
Name
on Credit Card: _________________________________________
Card number:
________________________________
Expiry
date: ____/____
Once
your ring is ready you will be contacted so you can supply payment on the
balance owing (if applicable).
For further information please contact: Corporate Offi=
ce,
Charm Diamond Centres,
1-902-463-7177 ext. 131