Ordering and Billing Information:

Is this the address at which you receive your credit card statements? If not please enter that address.
Name:
Address:
City:    State:     Zip:
Day Phone:    Night Phone:     Work Phone:

If this item is a surprise and you do not want us to phone you at home or work, enter your e-mail address below or your pager or cell number so we can discretely contact you.
Email:   Pager:       Cell Phone:
Ship to:
Name:
Address:
City:
State:      Zip:

Choice of LoveLetter
14 Karat yellow gold $315.00 US
14 Karat white gold $325.00 US
18 Karat yellow gold $385.00 US
14 Karat rose gold $225.00 US

Additional accessories
Extra pages 
14 Karat yellow gold $115.00 US
14 Karat white gold   $115.00 US
18 Karat yellow gold  $135.00 US 
14 Karat rose gold  $115.00 US

Gemstone Stamps $75.00 (Includes all birthstones with the exception of  Natural Alexandrite who's current cost is $109.00)
Choose a stone below from the dropdown list:
Choose Gemstone January Garnet February Amethyst March Aquamarine April Diamond May Emerald June simulated Alexandrite June Cultured Pearl June Genune Natural Alexandrite (See Extra Charge Notice) July Ruby August Peridot September Blue Sapphire October Opal October Pink Tourmaline November Citrine December Blue Zircon December Genuine Natural Tanzanite

Add FEDEX shipping/insurance:
$0.00-$200.00-$25.00US

$200 and above-$35.00+

We accept Mastercard, Visa, and Discover cards.
Card Type: Mastercard Visa Discover
Credit Card Number:

Please enter the three digit security code here: It is located on the back of your credit card.

Expiration Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012 2013

Check made out to Saxon Jewelers Inc.  
Ohio Residents add sales tax of 7.75%.

If you prefer to fax your page, do not enter your credit card information online, but just print out the confirmation page and hand write your credit information before faxing the page to our fax number (440) 461-9671.
Please make sure that you fax or E-mail this form by copying and pasting it into the text of your email along with the Create your LoveLetter form completely filled out. It is pertinent that we have a way to contact you with questions about your order, should we feel the need.