Yorkie Original Order Form

Yorkie Original, LTD.
P.O. Box 472
Staunton, VA 24402-0472
Ph: (540) 885- 1357
**Shipping expenses are not included in jewelry prices**

14KT. Gold Jewelry
Sterling Silver (Antiqued)
Platinum Look Sterling Silver (White washed)

Pendant
PE120G---14kt. Gold ---- --- x $120.00
PE35A --- Antique SS --- --- x $35.00
PE35PL---Platinum SS --- --- x $35.00

Pin
PI285G---14kt. Gold--- --- x $285.00
PI65A---Antique SS--- --- x $65.00
PI65A---Platinum SS--- --- x $65.00

Bracelet
B895G--- 14kt. Gold --- --- x $895.00
B200A--- Antique SS --- --- x $200.00
B200PL---Platinum SS------ x $200.00

Chain (For Pendant)
C125G---14kt. Gold --- --- x $125.00
C25A---Antique SS --- --- x $25.00
C25PL---Platinum SS--- --- x $25.00

Earrings
E240G 14kt. Gold --- --- x $240.00
E65A Antique SS --- --- x $65.00
E65PL Platinum SS--- --- x $65.00

Ring
R215G 14kt. Gold --- --- x $215.00
R65A Antique SS --- --- x $65.00
R65PL Platinum SS--- --- x $65.00

14 kt. Gold Total ----------------------------
Sterling & Plat. Jewelry Total -----------

To add Stones to jewelry
Add $12.50 ea. for Sapphires, Emeralds, or Rubies.
Contact us for price quote on Diamonds

Shipping & Handling:
$10.00 for orders under $500.00
$16.95 orders from $500~$1,000.00
$19.95 for orders over $1,000.00

Gold Jewelry totals
Sterling Jewelry totals
Gem Stones cost add
VA. Res add 4.5% tx
Add Shipping cost --
Order Grand Total

Personal Information:
Purchaser Name: First, M.I. & Last
Address:
Street: City: St.: Zip: Country:
Phone:(Area) + #	Fax: (Area) + #
Your E-Mail:
(pmt method) Money Order Certified Check Bus. or Personal Check: Check# Charge my Credit Card Acct #Exp.
Signature: (I authorize my signature to be my legal, binding signature:)	Sign your name here:

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**Fill in required boxes & Print this form from your browser,
sign and remit to us with payment**
(All personal & company checks must clear before shipping)

Please Make All Cheques & Money Orders Payable To:
Yorkie Original, LTD
P.O. Box 472
Staunton, VA 24402-0472

Confirmation of order and payment receipt will be sent to you
please notify me if not received by phone or email within 3 days

If you need any assistance or have any question please email me or call (540) 885- 1357