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.
Deposit Amount:*
Place Ordered:
Client Name: First Name   Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Signature *

Clear
Date *

Month Day Year
Date
My Products
prev next ( X )
Jewelry Deposit
Free Quantity

Subtotal

$ 0.00 CAD

Tax

$ 0.00 CAD

Total

$ 0.00 CAD
loading smart payment buttons...

The payment is ready! It will be completed once you submit the form.
Should be Empty: