SEND ORDER TO:
Herff Jones Inc.
P.O. Box 68501
Indianapolis, IN 46268
(800) 422-4348

JEWELRY ORDER FORM*

Item and Number

14K

10K

Goldlad or Silver Finish

1. Official Badge with .05 Diamond

Official Badge with .04 Diamond

Official Badge with .03 Diamond

Official Badge with One Zircon

-

$152.20

$73.40

-

139.25

68.00

-

125.55

61.55

-

70.50

30.50

 

2. Official Badge Tie Tac

(Same prices as shown above for Official Badge)

6. Monogram Charm or Tie Tac

51.35

35.00

10.85

  7. Monogram Lapel Button

-

-

5.25

  8.Monogram Tie Tac with Chain

-

-

11.15

9. 3/4" Circle Charm

102.75

69.95

19.90

10.Circle Charm

102.95

81.55

27.40

11. Badge with Zircon mounted on Filigree Charm w/18" GF Chain

-

-

38.00

ENGRAVING: $5.25 per badge for initials, chapter and date. For information on available pin guards, contact the Herff Jones, Inc.

TERMS: Prepaid.  There is no service charge or minimum order amount.  Orders are subject to applicable state sales taxes. Orders are subject to shipping charges of $7.50 per package plus .50 for every $100.00 of net order value within the U.S.

 MAKE CHECKS PAYABLE TO: Herff Jones, Inc.


Quantity

Item #

Cost Each

Total Cost

Pin Guard

Engraving Information

TOTAL COST OF ITEMS ORDERED: $___________________

ENGRAVING COSTS: $____________________

TAX, IF APPLICABLE $____________________

TOTAL ____________________


SHIP TO:

NAME

ADDRESS (Street, City, State, Zip)

PHONE


*THIS FORM MAY BE DUPLICATED AS NEEDED.