Jewelry Supply Direct Distributor
Wholesale Silver Jewelry, Wholesale Body Jewelry, Wholesale Fashion Jewelry & Accessories
Toll Free Phone: 1-888-882-9788      Toll Free Fax: 1-888-884-3188
Telephone: 604-298-0482       Fax: 604-291-9428
Home Page: www.supplyjewelry.com        Email: info@supplyjewelry.com
Wholesale Order Form
Minimum order is US$100 / CDN$100
You can summit your order online by click "Summit" at the end of this form or you can print it out and fax to us include your credit card info.

Your Name:

Business Name:

Shipping Address:

City and State / Province

Zip Code / Postal Code

Country

Phone Number:

Fax Number:

E-mail Address:

Canadian Dollar Price or US Dollar Price:

Payment Option - Visa, MasterCard, Amex, Paypal, Money Order

After submit this order form online, please call us to provide credit card information between 10am to 8pm Pacific Standard Time, seven days a week.
For previous customers, you could indicate that we can charge the same credit card as before in the 'Additional Comment / Special Instructions' below.
Please fill in this form horizontally.

Product Code Quantities Size of Rings
If Applicable		 Product Code Quantities Size of Rings
If Applicable		 Product Code Quantities Size of Rings
If Applicable

Additional Comment / Special Instructions:







Thank you for business!

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