Jan's Jewels and More!- Order Form and Shopping Cart

Print this Form for FAX or Mail Orders.
Please see Placing Orders and Shopping Cart.

C K Marketing Inc.
3737 NW 69th Street
Oklahoma City, OK 73116
Phone: 405.840.2341
FAX 405.840.1057

NAME:

E-MAIL:

ADDRESS:

PHONE:

ID. No. QNTY ITEM DESCRIPTION PRICE TOTAL

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.

20.

TOTAL:

Oklahoma Residents Add 8.875% SALES TAX:

Shipping Rate:

GRAND TOTAL:

METHOD OF PAYMENT
Check [ ]	Money Order [ ]	MasterCard [ ]	Visa [ ]	PayPal [ ]

CREDIT CARD INFORMATION *
NAME ON CARD:
CARD NUMBER:
EXPIRATION DATE: ____________	SECURITY CODE: ______	SIGNATURE:

* Your credit card statement will list "C. K. Marketing" and not "Jan's Jewelry Supplies".

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E-Mail Comments or Questions to Janice Kostura at jan@jansjewels.com

	ID. No.	QNTY	ITEM DESCRIPTION	PRICE	TOTAL
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
			TOTAL:
			Oklahoma Residents Add 8.875% SALES TAX:
			Shipping Rate:
			GRAND TOTAL: