AIM Jewelry -- Order Form


	Office Use Only ORDER # _______________

HOW TO ORDER:

Print form and mail, fax, or call your order to us at:

AIM Jewelry Mail Order
P.O. Box 5815
Washington, D.C. 20016

FAX 24 HOURS
1-301-251-2309

Message Center
1-301-251-2308

ALL ORDERS WILL BE CONTACTED TO CONFIRM
How would you like us to contact you?
Phone: _______________________ Fax: ___________________________ Email: ______________________________

ORDERED BY:

SHIP TO:

Name:__________________________________
Street:__________________________________
City:_______________State:_____Zip:_______
Daytime Phone:__________________________________

QUANTITY	DESCRIPTION/PRICE

METHOD OF PAYMENT

CREDIT CARD TYPE:

_____Master Card _____Visa _____American Express _____ Check

Card Number:

______________________________________

Name as it appears on card:
_________________________________________________

Expires:_____/______

Signature:
_______________________________________

t: If you are not completely satisfied with your purchase, complete the return form on the back of your packing slip or invoice no later than 30 days after shipment of purchased product. Send your package to: American International Market Corporation, P.O. Box 5815, Washington, D.C.
20016-5815, U.S.A. It is very important that you insure all packets or parcels for your protection.