Request for Gem Approval Item(s)
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Approval Item (at least one) - Please give details - Gem, Ct. Weight, Price
BILLING ADDRESS
Approval orders can only be shipped only to credit card billing address.
1
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Credit card to be placed on file
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Master Card
Visa
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Expiration Date
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Card Number
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CID
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Name
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Address
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City
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State
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2
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Special instructions and additional information.
Please enter any special instructions or additional information.
3
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Click to place credit card on file.
Please place my credit card on file - No charges will be billed without my authorization.
Thanks very much,
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