Wholesale Order Form

Prices Are Subject To Change

Print out Order Form, fill in and e-mail to:

robjane6@sbcglobal.net

 or mail to:  Corinthian Sterling Silver Jewelry

    1235 Broadway Street  Chico, CA  95928

Note: Shipping charges will be calculated when we are ready to ship your merchandise

Questions?  Email us at Robjane6@sbcglobal.net or call us at 530-343-6285

                                                                                            Date ______________

Company Name:______________________________________________________

Contact Person:______________________________ Phone #:__________________

Resale #:____________________________(resale # must be included with order

                                                                      to qualify for Wholesale price)

Email:_______________________________________________________

Shipping Address:______________________________________________________

City:__________________ State:_______   Zip:__________

Payment Method: ___ VISA   ___ Mastercard / Card ID # (on back of card) _______

Credit Card # :__________________________________________________ Exp. Date: _________

Cardholder's Name: _________________________ Billing Address:_____________________________

City:__________________ State:_______ Zip:__________

Cardholder's Signature:____________________________________________

ORDER

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

Qty.: ______  Style #: _______________ Unit Price$: __________ Total Amount $: __________

                                                                                   Total Order amount $:___________________

*Earring Orders if you need earring cards to display your earrings please check the bok below

Earring Cards ___ Yes  ___ No