JAZZ JEWELERS: Gold/JEWELRY item list

Please print, complete and sign this form. Place it in with your gold items before shipping.

First name: ________________________    Last name: ________________________

Address: ______________________________________   Apt/unit #: _____________

City: _____________________________________   State: _____   Zip: ___________

Day phone: ______ - ______ - ________  Cell phone: ______ - _______ - _________

Email address: _____________________________

Additional instructions: ____________________________________________________

Payment type: What we will require: Your full name

  Company check

 

Please list each item you are selling: (ie. 1 earring, 1 broken necklace). Although this is not required, it does help us avoid misunderstandings, and maintain good quality control.

Item 1:  Item 6: 

Item 2:  Item 7: 

Item 3:  Item 8: 

Item 4:  Item 9: 

Item 5:  Item 10: 

I, the undersigned, hereby state that I am currently a resident of the United States and at least 18 years of age. I am the owner of the item(s) that I am selling, and fully authorized to sell said property. I understand the terms and conditions of this sale.

Signature of seller: ___________________________   Date: ___________

Please insert this form, along with a copy of a valid ID, into package before sealing it.

Mail your package to:   JAZZ JEWELERS  9703 W. Hillsborough ave Tampa, FL 33615

Shipping Note: You may ship your gold order to us by any method or carrier you wish.  We will credit your order up to $10.00 per customer to help with shipping and insurance.  Incoming shipping charges exceeding $10.00 are the responsibility of the seller.