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Unformatted text preview: Jostens accepts Visa, MasterCard, Discover and American Express Circle One: | Paid in Full | Jostens J-Pay | Deposit Only | Credit Card Amount $ ___ ___ ___ . ___ ___ YOUR RING ORDER SUMMARY Conf: # Exp. Date: Name: Address: Customer #: School: Phone: Email: Accent Stone(s) Grad Year: Size Ring Choice Palm Side Metal Finish Metal Choice Other / Stone Band Inside Engraving (A39/A40/T31/T32) mond Dia Position mber Nu me Raised Na Ring Side 1 Yeardate $ Add On mond Dia Position mber Nu me Raised Na Ring Side 2 Yeardate $ Add On Stone Option/Cut Stone Color Initial(s) DuraColor 2 nd Stone Color / Icon 2 (L45) Special Instructions (office use only) PRICING $ Initials Added Product: _____ _____ _____ _____ _____ _____ OFFICE USE ONLY (shaded areas) JPP CUS SQT PC Crest _____ _____ Check Number _____ _____ _____ HANDLING SUBTOTAL ADD TAX TOTAL AMOUNT PAID Exp. Date: ___ ___ / ___ ___ Number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Signature: ______________________________________________________________...
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PrintQuote - Jostens accepts Visa, MasterCard, Discover and...

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