MoissaniteJewelry.com / Jewelers Studio
Printable or Email Order Form
Use this form to Print, Fax, Mail, or Submit by Email.

Credit Card orders over $900 must also be printed & faxed with signature

Go to Secure on-line form

Order / View items selected in Shopping Cart

Don't worry! All info is reviewed before processing, If   there are any incomplete fields, mistakes or discrepancies we will contact you for the additional info we need.

JEWELRY 
Quan   Item#    Description / Details,  Gold Color, Stone Size, etc   PRICE
Special instructions or ring sizing (2-5 days).
Standard  size 6 - 7 (usually 6)

Platinum sizing, Double 14k price.

LOOSE STONES
   Quantity    Size - Dia size - Shape - Price each  PRICE
    
    
    

 Choose Shipping (includes insurance)

Florida residents add 7% sales tax

Total Price

Total
BILLING

Credit card

Cardholder name
Card number Special order items are subject to a 15% restocking fee. Returns must be authorized & made within 1 week.
Custom/modified items are NOT returnable.
Expiration date

Signature  
(required over $900)

____________________________________
                     Partial Payment amount (if applicable)   

  

        
        
  SHIPPING INFORMATION
SHIPPING ADDRESS
Physical address for UPS  (No PO Boxes)
BILLING (if different)
Name 
Address 
City
State/Province
Zip/Postal code
Country
Phone
E-mail

Additional Comments or Special Instructions

 

 

  Moissanite Jewelry(407)212-5391  

FAX (407)212-5391

  501 Florida Central Parkway #520052    -  Longwood, FL  32752

Email: sales@MoissaniteJewelry.com

 

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