Ring Order Form

Date of Order:

Full Name:

Ring Size:

Graduation Year:

Degree:

Address:

City:

Province/State:

Country:

Postal/Zip Code:

Phone Number:

Email Address:

Order Information

Pricing *

Alloy	Lustrim **	10 k Yellow or White Gold	14 k Yellow or White Gold	18 k Yellow or White Gold
Women's Ring	$242.00	$403.50	$526.00	$594.00
Men's Ring	$257.50	$527.00	$652.00	$736.00

* All prices are in Canadian dollars. GST and PST are added where applicable.

** Lustrium is a beautiful nickel/chrome alloy. It has a chiny silver colour, similar to that of white gold, and is completely tarnish-resistant and very durable.

Insurance

Your ring is automatically insured against loss or theft for four years from the date of purchase. Jostens now offers an extended ring protection plan for six additional years of coverage for just $29.95.

Choose Your Ring

 

Gender:            Male     Female

Alloy	18k yellow gold	18k white gold
	14k yellow gold	14k white gold
	10k yellow gold	10k white gold
	Lustrium
Finish	Duracolor (all rings)	Natural (yellow gold rings only)
	Black (all rings)	Brown (yellow gold rings only)
Insurance	I wish to purchase six additional years of coverage for $29.95
Shipping & Handling			$15.95
Order Total:

Initial or full name for engraving*

Initial       

Full name

*only 18 characters are allowed.

Payment Information

Payment Method:

Visa     Mastercard
Money Order     Cheque (make payable to: Jostens)

Credit Card Number: ____________________________   Exp. Date: 123456789101112/2013201420152016201720182019202020212022202320242025202620272028
Name of card holder:
Signature of card holder: ____________________________

How to Place an Order

Complete, print and mail this order form, along with $60 deposit for each ring ordered, to the address below:


Jostens Canada Ltd.
11620 - 145 Street
Edmonton, AB, Canada T5M 1V8

For more information, contact

Jan Grieve
1-800-567-6742
Fax: 780-435-1661
jan.grieve@jostens.com