Somerset Silver Order Form

Minimum Wholesale Order - $100.00

Company Name:

Ship To Address:

Resale Tax ID#: City, State, Zip:
Contact: Phone:

Website/Email:

Fax:

 Pricing:

1-199 grams - $1.32/gr

200-499 gr - $1.19/gr

 500—999 gr - $1.10/gr 1000+ gr - $1.01/gr

Prices Effective 4/7/08
Bead # Quantity Bead# Quantity Bead# Quantity

To ensure your security, please call or fax in your credit card information--do not send it via email:

Method of Payment (circle one):

       Visa           Mastercard

 

Name on card:                                                  

Account #:                                                                                     

Exp. Date:                          3 digit security code:           

Signature                                                       

Do you want us to make substitutions if items are out of stock?    Yes   No

How did you hear about us?

We ship most orders within 1-2 days using USPS or UPS

You can print this form and fax it to us, or click the Submit button to send it via email.

 P.O. Box 253, Mukilteo, WA 98275      Phone: 425-641-3666    Fax: 425-641-3394

www.somerset-silver.com