FLINTSKI
ORDER FORM 

Please provide the following contact and billing information:

Required; First Name
Required; Last Name
Title
Organization
Required; Street Address
Required; Address (cont.)
Required; City
Required; State
Required; Zip/Postal Code
Country
Work Phone
Home Phone
FAX
Please provide E-mail address
URL

QTY	ORDER NR.  PRICE  DESCRIPTION

For Coins, Bezels, Coins with Bezels, and Jewelry items>
Mississippi residents include %7 sales tax.

Shipping Cost Calculation

$0.01 - 9.99	$	3.00
$10.00 - 49.99	$	3.00
$50.00 - 99.99	$	5.00
$100.00 - 199.99	$	7.00
$200.00 and over	$	10.00

BE SURE AND ADD YOUR SHIPPING CHARGES

Customer pays for shipping and handling except where as otherwise noted.
We accept cashiers checks, Cash, money orders, certified checks , personal checks and cash
For personal checks allow 10 days to clear.

REMEMBER you can pay by Master or Visa Card Ph. 1 866 221 7893
Toll Free. (7:00 am till 10:00 Pm central time daily except on Sunday 1:00 PM till 10:00 PM central time,) or use the PayPal shopping cart.

If you would like to confirm price and shipping before sending check.
Please contact us by e-mail  Or by Phone 1 866 221 7893 Toll Free.

SATISFACTION GUARANTEED or money back upon return of merchandise.
Merchandise must be returned within 7 days of receipt.

If you don't care to use this form just e-mail  the information. be sure to include shipping address, prices, order numbers. Payment can be mailed separately.

MAIL this form, CHECK, CASH OR MONEY ORDER TO;

FLINTSKI JEWELRY
23491 Hi-Way 8 EAST
GRENADA, MS 38901

 
Be sure to include shipping address.  Credit card users, it must be the address assigned to the card.

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

    Don't forget to provide your E-Mail address

ADDITIONAL ORDERING INFORMATION OR REMARKS OR QUESTIONS MAY BE
 ENTERED IN THE BOX BELOW.

Enter the date of order Not required.

-- mm/dd/yy