JEWELLERY DEPOSIT FORM

JEWELLERY DEPOSIT FORM
Hello!

Thank you for your advanced order with Pushing Inc. Tattoo Emporium! We are excited that you have chosen us for your jewellery purchase and are just a few steps away from finalizing your deposit.

To finalize your jewellery order we require a deposit; amount may vary depending on your order.

You will also be required to fill out the following information to secure your order.
I, First Name* Last Name* Understand that by filling out this form I am committing to the purchase of my selected jewellery order, ordered for me by Pushing Inc. Tattoo Emporium onDate* (purchase date)
I Acknowledge that Pushing Inc. Tattoo Emporium will contact me via PHONE when my order has arrived.

I Acknowledge that the remainder of the cost for the jewellery will then be due upon pick up. All deposits are nonrefundable and go directly towards the cost of the jewellery.
Phone Number*

Area CodePhone Number
Email*
example@example.com
Signature*

Clear
Date*

MonthDayYear
Date
My Products
prevnext( X )
Jewelry DepositDeposit Quantity is in increments. Chose the correct Quantity for the correct Deposit dollar amount.
$25.00CAD Quantity

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.