Repairs: (there is no charge for repairs but you must include return shipping fees)

Please describe each item and the desired repair.

Refinishing: (you MUST include return shipping fees)

There is a $5 per item refinishing fee for most pieces, $10 each for 3-part bracelets, coin style bracelets, or cuff bracelets. Please list each item for refinishing.

$5 0r $10 refinishing per item

Shipping: (you MUST include return shipping fees)

There is a flat $5 shipping fee for both repairs and refinishing.

$5 shipping

Insurance:

If you would like your package insured, please add $2 for insurance up to $100, $3 for insurance up to $200 and $5 for insurance over $200. All shipping is via US Priority Mail unless otherwise requested.

Name:

Mailing address:

City, State, Zip:

Phone:

E-mail:

Check

Money Order

Credit Card

Credit card number and expiration date:

Signature: