Dr. Joe Jackman

Jewelry Order Form

When ordering, please note the quantity of each item along with the item number.

Your order will be confirmed by e-mail and a shipping date will be provided.

Shipping is not included in the cost of items. Actual shipping cost will be added to order. Approximate rates are:

  • Air Mail delivery US$2.50 - Delivery time usually 1-2 weeks
  • Post Office express US$25.00 - Delivery time usually 3 days
  • Fedex/DHL US$50.00 - Overnight
Name:
E-mail address:
Phone number:
Fax number:
Address line 1
Address line 2
Country and zip code
Please list each item being ordered in the space below:
If confirming your order, please provide
the following information:

Please note that we also accept bank drafts/money orders.
Please contact us for the exact amount payable.

Also note that credit card
orders will be charged to Coins Plus
Card number:
Visa, Mastercard or American Express
Expiry date:
Name on card:
If you are satisfied with the information that you have entered, please click the 'Place Order' button.