Page Title

Mail Order Page

Order Online 24 / 7 Or Toll Free (800)613-0266

Shipping & Contact Information

Items To Order
Item # and Finger Size if Applicable

Payment

Check or Money Order Enclosed

Card Number
if paying by Credit Card

Expiration Date

Name exactly as it
appears on your card

Cost of Items

Standard Shipping For 1 Silver Item Is $5.50 By USPS 1st
Class Mail.
Standard Shipping For 1 Gold Item Is $11.50 By UPS or
FedEx Ground, Including Insurance.
For other shipping info please contact us.

Shipping Charge

Total Enclosed

Fill in fields, then print. ALL Fields Are Required. Please be sure to fill in all
applicable information or your order may not be filled properly.

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Send Completed Form with Payment To:
JR Design
1525 South Upas Street
Escondido, CA 92025
If you have any questions, please call the Toll Free
Number below.

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Order Online 24/7 or Toll Free (800) 613-0266