Hawaiian Jewelry Fax or Mail Order Form

Please fill out form below, print out, and fax or mail to address at the bottom

FAX order line:

(800) 805-4404 Toll Free (U.S. & Canada)

(630) 214-8786 International & domestic

Item #

DESCRIPTION

Name/initial to be engraved/enameled (custom orders only)

QTY

Size

UNIT
PRICE

TOTAL

Subtotal

Shipping

Extra charges: (larger sizing, white gold)

Hawaiian Gift Card: (enclose a card with your order) add $3.00

Grand Total

Ordered by:

Name
Address

Telephone (day)
Telephone (evening)
Fax
E-Mail	Important - please print / type clearly
Shipping to: (if different than above address)
Name
Address

METHOD OF PAYMENT

Money order or credit card available. Please check one of the two payment option boxes below:

WE DO NOT ACCEPT PERSONAL CHECKS

MONEY ORDER -

Available at any post office, bank or 7-11 stores.

Make your money order payable to: ZG Hawaii

CREDIT CARD - VISA, MC, AMERICAN EXPRESS, DISCOVER & JCB

Type of card:

Card Number:

Expiration Date:

Name on Card:

Signature:

Comments:

Special instructions, gift card message(additional $3.00), how you found us...

If you ordered a custom barrel ring, pendant or bracelet we can put a message on the back/inside for free - enter the short message here.

rings-up to 20 letters/spaces, pendants-up to 8 letters/spaces, bracelets-up to 60 letters/spaces

EXAMPLES:

inside ring engraving: Kuuipo

gift card message: Happy Birthday Keoni, love dad

Print out this form and fax or mail to:

Z.G. Hawaii

1750 Kalakaua Ave. Suite 3572

Honolulu, HI 96826

Tel: 808-225-7357

FAX order line: 1 (630) 214-8786

Toll Free FAX: 800 805-4404