Order Form
DIRECTIONS:
1. PRINT OUT THIS FORM
2. Fill out all appropriate sections
3. Include your Elks Tooth, or other item if ordering a custom setting
4. Mail to: KFB Jewelers, 31 South Main Street, Chambersburg, PA 17201

If you are ordering and do not need to send us an item for custom settings,
you can expediate your order by calling: (717) 264-8634

PLEASE NOTE:
• When SENDING YOUR ELK IVORY, please package it carefully and send it insured
(suggested minimum $50).
• If ordering an Elk Ivory piece USING YOUR OWN IVORY deduct $30 from listed price.
DELIVERY TIME on custom pieces using your ivory please allow 3 - 4 weeks;
on finished items as shown allow 2 weeks.

ORDER SPECIFICATIONS:
Item(s) Enclosed for Setting:


Item Number and Description:


Ring Size OR Length of chain for necklace:


Precious Metal to be used (circle one):
14K Gold 10K Gold Sterling SilverSilver & 10K GoldBlack Hills Gold

CUSTOMER INFORMATION:

Name:


Address:


City / State / Zip Code:


Telephone: (Please include incase we have any questions)


Payment Method (circle one): VISA MasterCard Discover Check Enclosed
Credit Card Auth #:


Expiration Date:
Thank you for your order!


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