THE DIAMOND SPECIALISTS INC. OFFICIAL ORDER FORM CONTINUE SHOPPING
Due to security issues involved in making purchases online and in light of recent rising fraudulent purchase requests. For your security and protection, we require all orders to be made by fax.
Complete the form below. You may enter all information by typing in the boxes or print and fill in manually. Sign and fax the completed form to.................... We will charge a 20% deposit to your credit card.
The remaining amount will need to be wire transferred to us from your bank account. We will call you to complete that transaction. Our payment method is for your security only.
CUSTOMER SHIPPING INFORMATION (*Indicates required field).
*First name
*City
E-mail
YOUR SHOPPING CART CONTENT IS LISTED BELOW CLICK HERE TO CONTINUE SHOPPING
ADDITIONAL ORDER DETAILS REQUIRED WHEN APPLICABLE
Ring size
Chain length
Special order details
Payment method
Your credit card information is not collected and is not sent through the internet. The fields below are for your convenience only and may be filled in manually after printing this form.
YOUR AUTHORIZATION
Signed this
Signature
Print name