Please print order form, fill it out completely and mail with payment.

 

Name:
 
Address:
 
 
City, State, Zip or Postal Code:
 
Country:
 
E-Mail Address:
Telephone Number:

Badali Jewelry Specialties, Inc.
320 W. 1550 N., Suite E
Layton, UT 84041
USA
1-800-788-1888

Item Number
(Ex: ORG-14)

Description
(Ex: 14kt. Gold One Ring TM)

Size

Lettering Color, Stone Choice, Words, Phrases, Etc.

Price
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         

Subtotal:

  

Shipping (To calculate charges see US Shipping or International Shipping):

  

Sales Tax (Utah State Residence Only 6.5%):

  

Total:

  
ALL ORDERS ARE PRE-PAID:
Other Accepted Mail Order Payment Methods:

U.S.: Money Orders, Bank Checks, or Personal Check*
International: International Money Orders or Bank Checks in US Dollars

Credit Card Payments

Visa

Master Card

Discover

American Express
Credit Card Number:  
Expiration Date:  
*CVV2 (CID) #:  

*(the last three numbers printed on the signature strip for Visa, Master Card, or Discover)
 or (the four digit number on the front of American Express Cards)
Signature:  

* Returned Checks Will Be Issued A $29.00 Fee

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