lgobtn2.JPG (6037 bytes)    Print  and send  by mail or fax to: Atlantic Direct / Goldzilla  P.O. Box 150055  Kew Gardens, NY  11415-0055  / FAX (718) 846-7332.   lgobtn2.JPG (6037 bytes)

              

QUANTITY MODEL SIZE UNIT PRICE TOTAL
         
         
         


METHOD OF PAYMENT (CHECK ONE). DO NOT SEND CASH.  PLEASE BE SURE TO FILL IN NAME AND ADDRESS PROPERLY.

(  ) VISA (  ) MasterCard (  ) AMERICAN EXPRESS

(   ) POSTAL MONEY ORDER / CERTIFIED CHECK   (NO PERSONAL CHECKS PLEASE).

NAME
(card owner's, if credit card order.)
CARD NUMBER:                                                                                                            CID NUMBER*:
EXPIRATION DATE:                                               CUSTOMER SERVICE NUMBER:
SHIPPING INFORMATION (IF CREDIT CARD ORDER, DELIVERY ADDRESS MUST MATCH CREDIT CARD ADDRESS.)
STREET ADDRESS:
TELEPHONE:
CITY:
STATE:
ZIP: E-MAIL ADDRESS:
ORDER AMOUNT SHIPPING ORDER AMOUNT SHIPPING, INSURANCE, TRACKING, ETC.
$0 -   $100.00 $12.00 $300.01 - $400.00 $15.00
$100.01 - $200.00 $13.00 $400.01 - $500.00 $16.00
$200.01 - $300.00 $14.00 $500.01 AND OVER  ADD $1 to $8.75 FOR EACH ADDITIONAL $100 ORDERED
Example: Shipping on a $725 order, would be $19.00 .

* What's a CID number? Click here.

Sales tax will be added to orders shipped to any New York State address.

Postal money orders are sold at every Post Office. We are unable to accept money orders issued by other sources. Just read the back of one of the others to see why.

Before placing a credit card order: We verify all credit card information, on every order. If the name, address and telephone number you enter does not match the data on file with the credit card company we must reject the order.

Note: Please take a moment to familiarize yourself with our return policies and shipping rates before continuing with your order.  

For the protection of the cardholder, we will not ship jewelry to any address other than the one the credit card statement is sent to. The package can only be signed for by the cardholder, and proof of identity will be required. A valid e-mail address enables us to communicate with you about your order.