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

top

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