Order Form

Jade and Pearl, Inc. • P.O. Box 1106 • Hawthorne, FL 32640

To save time, please fill out the order form completely before placing your order. Order toll-free in USA: 1-800-219-9765 Outside USA: 1-386-684-3217 • FAX your order: 1-386-684-3359

(Daytime phone is very important, in case we have questions about your order. Include area code.)

Name:____________________________ Daytime Phone:(______)__________________

Address: (No P.O. Boxes)__________________________________________________

City/State/Zip:___________________________________________________________

Method of Payment:
(USA funds only)

□ Personal Check □ Money Order
Credit Card: □ MasterCard □ VISA □ Discover

Name on Credit Card:______________________ Expiration Date: ______________

Authorized Signature:_____________________________________________________

Item #	Color/Size/Scent	Qty.	Item Desc.	Price	Line Total











To fill in shipping charges, see the Shipping Rates chart on our current pricelist. Our preferred carrier is UPS, and they cannot ship to PO boxes. Orders under 2 pounds are shipped US Priority Mail. All domestic orders within the contiguous United States are processed and shipped within 48 hours. You can usually expect delivery within 2-9 business days after placing your order. Thank You for Shopping With Us!				Subtotal
				Shipping
				Overnight ($23.99)
				2nd Day ($13.95)
				3rd Day ($5.95)
				Total