Fax Order Form

Saman Jewelers, Inc - Home

Ordering By Fax Is Easy

To order by fax, you may fill this form out, print it and then fax it back to samanjewelers.com at 954-272-0424, along with the copy of your Picture ID.

Once we received the order, our customer service representative will contact you by phone to confirm all information before processing your order. Your order will only be processed upon this confirmation and if the "Bill to" and "Ship to" address are with in the USA.

Shipping Information
Ship to:
Street Address:
Street Address:
City, State, Zip Code:
Phone Number:
Fax Number:
Email Address

Shipping Method
Fedex	2-3 days Fedex shipping add $ 15.00 or FedEx next business day $35.00 ?
USPS Priority	3-5 days shipping add $ 20.00

Payment Options
Credit Card:	Master Card Visa Amex Discover
Card Number:
Security code:	3- or 4- digit number
Expiration date:	/ (MM/YY)
Cardholder Name:
Billing Information
Bill to:
Street Address:
Additional Address Information:
City, State, Zip Code:
Phone Number:
Country:

Product Code #	Product Name	Price

Bullion Coins

Diamond Jewelry

Gold Anklets

Gold Bangles & Kadas

Gold Bracelets

Gold Chains

Gold Earrings

Gold Nose Pins

Gold Pendants

Gold Rings

Gold Tikkas

Necklace-Earring Sets

Men's Gold Jewelry

Children's Gold Jewelry

Miscellaneous

Clearance

Sales Items

Product Archives

Custom Collection