Printable Order Form


Printable Order Form (Wholesale):

 

To submit an order, please print this form and mail to:

 

PRECILA G.

P.O. Box 570463

Tarzana, Ca 91357-0463

 

Or Fax to:

 

818.597.1949

 

 

Please allow 1 to 4 weeks for shipping.

 

Items Ordered:

 

Item Number

Description

chain length

chain type  if different than shown

Quantity

Price

SGL01

24kt vermeil -dove

16"

rope

1

$28.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plus 8.25% sales tax (CA residents only)

 

Plus Shipping & Handling

 

 

Total

 

 

For more items, please print and include a second form.

 

Customer Information

 

*First Name ________________________

*Last Name ________________________

  Company   ________________________

 *Email        ________________________

   Phone       ________________________

 

Credit Card Information

 

*Card Type  ________________________

*Cardholder’s Name As Shown On Card  ___________________________________

*Card Number ______________________

*Expiration Date (mmyy)  ____ / ____

*3 Digit Security Code   _______________

 

*Required fields.

Billing Address

 

*Address Line 1  ______________________

*City  _______________________________

*State/Province _______________________

*Country _____________________________

*Zip/Postal Code ______________________

 

Shipping Address (if different from billing address)

 

Ship To Name __________________________

Address Line 1 __________________________

City __________________________________

State/Province __________________________

Country _______________________________

Zip/Postal Code _________________________

 

 

Thank you for ordering from Precila G. . If you have any questions, please do not hesitate to contact us by phone at: 818.974.1970, or by email at: Sales@precilagjewelry.com