1. YOUR RING ORDER SUMMARY
Date: 11/5/2010 Conf: # 35129663-72404 Exp. Date: 12/31/2010
Name: Katherine Angus Customer #: 06938900
Address: 1819 N. College Ave School: Edison High School
Tulsa, OK 74110 Phone: 918-835-6348
Email: purpledogs1212@yahoo.com
Ring Choice Size Grad Year Outside Initials Accent Stone(s) $ Add On
1
Carolina (T24) - Women's 07.0 13
Metal Choice Metal Finish Palm Side
2
White Lustrium® Antique (traditional) Smooth Band (traditional)
Inside Engraving Other / Stone Band Personalization (A39/A40)
3
Marrinette Katherine Angus
Ring Side 1 Raised Name Number Position Diamond $ Add On
4 Yeardate
Band TA8 EAGLES
Ring Side 2 Raised Name Number Position Diamond $ Add On
Yeardate
Orchestra TF5 2013
Stone Color Stone Option/Cut Encrusted / Top Initial DuraColor
5
Tourmaline Premier
2nd Stone Color Special Instructions (office use only)
OFFICE USE ONLY (shaded areas) PC Initials
PRICING $ US $209.98
Crest
JPP CUS SQT Added Product: _____ _____ _____
Ring Protection Plan _____ _____ Check Number
_____ _____ _____
EXTENDED PLAN – 10 YEARS (ADD USD $14.99)
_____ _____ _____
Jostens accepts Visa, MasterCard, Discover and American Express HANDLING US $5.99
Circle One: | Paid in Full | Jostens J-Pay™ | Deposit Only |
SUBTOTAL
Credit Card Amount $ ___ ___ ___ . ___ ___ Exp. Date: ___ ___ / ___ ___
TAX
Number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
TOTAL
Signature: ______________________________________________________________
AMOUNT PAID
This is a customized product. Cardholder understands payment(s) may be
charged before products are delivered. Please allow 6 - 8 weeks for delivery. BALANCE DUE
............................................................................................
CONSUMER RECEIPT Name: Katherine Angus Confirmation Number: 35129663-72404
Sales Rep Name:.Lierman Graduate Service Phone:405-789-2052 Email:rick.lierman@jostens.com
Carolina (T24) - Women's, Metal Choice=White Lustrium® Metal Finish=Antique (traditional) Stone Color=Tourmaline Stone Options=Premier Ring Side
1=Band TA8:EAGLES Ring Side 2=Orchestra TF5:2013 Inside Engraving=Full Name:Marrinette Katherine Angus Palm Side=Smooth Band (traditional)
Graduation Yeardate=2013 Ring Size=07.0 Ring Protection Plan=Extended Plan – 10 years (add USD $14.99)
Select One: _____ Accent Stones TOTAL
Paid in Full _____ S1 Grad YR Dia
AMOUNT PAID
Jostens J-Pay? _____ S2 Grad YR Dia
Deposit Only _____ P.C. Crest BALANCE DUE
You may cancel this order within 3 business days from its placement without charge; thereafter cancellations will be subject to a $75 cancellation fee. You may change this
order within 7 business days from its placement for no additional charge and within 8 to 14 business days for a $25 charge. No changes are allowed after 14 business days from
placement of this order. NOTE: Shipping charges may be added at time of order.
Order is subject to audit. Computational errors will be corrected on invoice. Orders are subject to acceptance by Jostens.
