The following order form can be used if you want to mail your order or fax your order to us.
It is always a good idea to email us to see if your product is in stock before sending this form.

JewelryVilla.com ORDER FORM FAX TO 928-569-2788 OR Mail to the following address

Tin Head Designs, P.O. Box 443, Green Creek, NJ 08219

Toll Free Telephone: 1-877-218-5786              E-mail: info @ jewelryvilla . com

Print this form by clicking on the print button on your computer

ORDERED BY			SHIP TO
Name			Name
Address			Address
City, State, Zip			City, State, Zip
Phone			Phone
E-mail			E-mail
Qty	Item Number	Description		Unit Price	Total Price
				Sub Total
				Sales Tax (7% for NJ only)
				Shipping
				Total

Payment Method:

· Credit Card (fill in Credit Card Info Below)

· Money Order (Make Money Order Payable to Tin Head Designs)

Cash (Tin Head Designs will not be held responsible for any cash lost in the mail. We suggest that you send Cash by certified mail.)

CREDIT CARD INFORMATION Name on Card: ____________________________ Card Number: _________________________________ CVC Code: ___________________ Type of Card:      Visa  Master Card   AMEX Discover Expiration Date____________ Signature: ________________________________ Date _________________

This form can be mailed to Tin Head Designs, P.O. Box 443, Green Creek, NJ 08219
or faxed to 928-569-2788

We accept money orders and