Order Form for Concepts Products

All information on this page is secured. Names, phone numbers,
address, and charge card numbers are kept in the strictest confidence.
We do not sell or share our data. We do place your name on our mailing
list for upcoming sales and specials.
If you would rather not receive these mailings just let us know by e-mail.
If you would like to order off line print this form and mail it to us.
We will confirm
your order depending on information given within 24 hours
by e-mail or phone.
Please note if we are in a show ( See show schedule) we can not confirm
your order until we get back in the office.
Be sure to fill in either a phone number or e-mail address so we can
contact you if there is a question about your order.

Our Copyrighted Information either Histories or Coats of Arms are
Not Available Via E-Mail or Fax
Prices are subject to change without prior notice.

For more information on other ways to 0rder, type of
payments accepted and delivery times Click Here! Then hit
browser back button to come back to this page

If sending money order fill in and print out this form
and send along with payment. Be sure to add S & H with payment.

Instructions:

Key in your name, address, and phone number.
Key in e-mail address.
Key in the information about the products you wish to order.
Click on the SEND button
{Do not hit send more than once or your order will
be duplicated. -- and you're done!
* Items that must be filled in to process order.
Do Not Hit send until you fill in Your e-mail, phone number,
credit card expiration date and number, Name Origin
( if Known )
If you are not paying with a credit card just punch in x's in
the required fields.
Please note that all information will be lost if you do not fill
in the required information.
Be sure to state the following:
Border Color of certificate for
History, Origin of the name you want ( if Known)



* Name   
     Address 
     City     State  Zip 
     

*Country:





 * Phone Number: FILL IN IF ORDERING IN US  
	  
Area Code() -
	  
E-Mail 
	 
	 
	 Phone Number: Outside US Only  
Country Code: - City CodeArea Code() -

May we confirm your order via e-mail? Yes No

*Method of Payment:
MasterCard Visa Money Order

Credit Card Information:

Name As It Appears On Card:

Account Number On Card:

Expiration Date On Card:



 To order Name Histories fill in here.

 ( If ordering COA with History, please state in 
 description box)IE: Name history and Small COA with 
 lion supporters.
 
Order #1
*Product Description  
  
*Price :   
*Qty:      
*Name desired:    
*Origin of the name:England,etc 
*History border color:rust,blue,green,black 

 Order #2
*Product Description 
   
*Price :   
*Qty:      
*Name desired:    
*Origin of the name:Ireland,etc 
*History border color:rust,blue,green,black 





 To order a single Coat of Arms any size, style
 or a double Coat of Arms fill in here
*Product Description    
*Price :   
*Qty:      
*Name desired:    
*Origin of the name:Ireland,etc 
Supporter Options
*COA Supporter Option: 
COA Mats  
*Mat Color for Framed COA Only:    



*Product Description    
*Price :   
*Qty:      
 Names for the Double Coat of Arms

The Graphic Dbl COA is available with last name only or

can be Personalized with First name, Middle Initial, Last Name 
if desired.

Keep in mind that we only have 22 spaces for each name.

*Names for Dbl COA:Male  
*Origin of the name:(Male)Ireland,etc 
*Names for Dbl COA:Female  
*Origin of the name:(Female)England,etc 

Please put in the wedding date: Month, day and year. If left blank 

we will assume you do not want the date listed.

*Wedding Date for DBL COA:month/day/year 







 


Choose a Frame for your History or COA 
*Frame Style #1 choice:    
*Frame Style #2 choice:    




 To order Rings or Jewelry fill in here
 


*Product Description    
*Price :   
*Qty:      
*Name desired:    
*Origin of the name:England,etc 
Ring Size:   
Karet weight: 
Name in Banner for Ring.

All rings come with the name in the banner. 





 To order any other products fill in here. 



*Product Description    
*Price :   
*Qty:      
*Size:      


 Add S&H:for the total
 order here.
 
Note: Multiple orders shipped to same address call 
for quote.

Comments:

Return and Refund Policy
All items that are hand crafted: Embroidery, Hand Painted, Glass, etc. are non
refundable. Except where a mistake was made on our part
or damaged in shipping
S&H on all orders are non-refundable.

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