Please complete the form below, print and deliver to your sales representative (listed below) with the required deposit.


Quality

18K Gold Yellow

14K Gold Yellow

10K Gold Yellow

White Ultrium®

Finish

Natural

Antique


 

 

 bar

 Name
 Address
 City
 State
 Zip Code
 Campus Phone
 Permanent Phone
 Finger Size
 Women's Ring
 Men's Ring
 Graduation Year
 Degree Letters
 Full Name Engraved
 or- Three (3) Personal Initials Engraved Inside
 Payment Options
 VISA®
 MASTERCARD®
 AMERICAN EXPRESS®
 DISCOVER/NOVUS®
 Card #
 

 Exp. Date

  
 Cardholder's Signature  

 

 

__________________________
*Due to fluctuating gold costs, gold ring prices are subject to change. Complete, print, and return this order form to the Sales Representative listed below along with required deposit of $30.00.

Sales Representative: Kevin Mortinson, 2565 South Park Drive, Savage, MN 55378

Phone: (952)447-4449
Fax: (952) 447-4449

E-mail: mortinson@unique-software.com
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©Copyright, Herff Jones Company, Inc., 2003. All rights reserved.