Printable Order Form

We understand your concerns about security and privacy. The information you supply on this order form will treated as confidential -- including your credit card number -- we do not give any information to a third party.

Please fill out this form as completely as possible. If we have a question about your order, we would like to be able to contact you as quickly as possible.

In addition to each order you will get a FREE GIFT BOX and FREE FELT LAPEL SUPPORT!!

 Pin #  Description  Quantity  Price  Total
$
$
$
$
$
 Subtotal $
 Free gift box  $0.00
 Felt Backing for each pin  =====>  Free support  $0.00
Applicable sales tax for your state $
Shipping/Handling ====> $3.00 S/H each piece. $
 Total Price $


Your Contact Information -*Red Text Indicates REQUIRED info to process order
*Name
*Phone
*Address
*City/State/Zip
*Email

METHOD OF PAYMENT

Credit Card:

We take Visa/Mastercard only:

Full Name on Card
Card #
Expiration Date

    By Mail:

Please Print this completed order form page and send payment to our address:

      JEWELRY PINS by CARAMIA
      1306 Curtis Ave.
      Manhattan Beach, CA 90266

    By Phone:

This is the time you can reach the artist personally and get immediate help:
(310)-374-1777 Pacific Coast Time, Monday thru Thursday 10:00a.m. to 4:00p.m. Only.

E-mail - caramia@jewelrypins.com