Moritzco Order Form

c/o J.P. Moritz
9622 SW 54th Ave.
Portland, OR 97219

Quantity	Item	Cost/Item	Subtotal
Subtotal: Shipping:			$5.00
Order Total:

Send To:	Order Notes:
Name: Address: City/State/Zip: Phone: Email:	Details about the jewelry or other items, first and second size choices, etc:

• Send check or money order made out to MORITZ COMPANY.
• If paying by PayPal, send to jp@moritzco.com
• Personal check held 5-7 days before item will be shipped.
• Shipping Methods: I usually ship the next day, via US Mail, or UPS for large items.
• 100% Satisfaction Guarantee!