Fabulous Jewelry of the Stars

120 Derwood Circle
Rockville, Maryland 20850
Phone: 301-922-2288 - Fax: 301-424-4249

To Order:

Please print this order form on your printer, fill it out and mail or fax it to us.
Any orders paid by check will be shipped after check has cleared.
All orders will be shipped via DHL Next Day service and insured for the sale amount.

Order Form
 Celebrity Name
 Item Description
 Price
     
     
     
     
     
     
     
     
  Subtotal
 MD Residents add 5% Tax
 VA Residents add 4.5% Tax
 DC Residents add 5.75% Tax
 Shipping Charges
 Total Cost

Ship To:
 Name:  
 Address:  
 City:  State:  Zip:
 Daytime Phone:  
 E-mail Address:  

Please circle a Method of Payment
Money Order Personal Check Visa Master Card
 Card Number:  
 Expiration Date:  
 Name as it Appears on Card:  
 Signature: