Order form for Hawaiian Hand-crafted Rings

14K Hawaiian Hand-crafted Rings order form:

Item =     14K Hawaiian Ring Sterling Silver HI Ring

Design =  Maile Lei design Plumeria Lei design Princess design Fern Scrolling design Hibiscus design Not Applicable                 Qty =  1 2 3

Width =  4 mm 5 mm 6 mm 8 mm 10 mm 12 mm 15 mm 18 mm                           Size = 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 8.5 9 9.5 10 10.5 11 11.5 12 12.5 13 Others
(for others sizes, please Enter at "Additional Information")

Name outside =        Border = Plain Diamond cut Scallop/Cut out Black border (6mm & up only)

Name in Hawaiian?
Yes    No    Not Applicable (no name)

Type of the lettering:
Black Enamel     Raised letters      Raised Enamel       Not applicable (no name)

 Engraving inside =     

Please provide the following contact information:

First Name
Last Name
Day Phone
Evening Phone
FAX
E-mail

BILLING
Method payment	VISA MasterCard American Express Discover Check Money order or Cashier's check
Cardholder Name	(if applicable)
Card Number	(we will contact you for this information)
Expiration Date	(we will contact you for this information)
Credit Card Billing address
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

SHIPPING
Ship to:
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Additional Information:

Please verify all information entered correctly before submit this order