Jewelry Order Form

Personal Information

Name: [______________________________]
First Name: [______________________________]
Address: [______________________________]
Postal Code: [______________________________]
City: [______________________________]
Country: [______________________________]
Phone: [______________________________]
Email Address: [______________________________]

Details of the Ordered Jewelry

Type of Jewelry:
 Necklace
 Pendant
 Earrings
 Bracelet
 Ring
 Baby Pin
 Keychain
 Cufflinks
 Other: [________________]
Jewelry Name/Model: [______________________________]
Product Reference: [______________________________]
Size (if applicable): [______________________________]
Materials (gold, etc.): [______________________________]
Precious Stones (if applicable): [______________________________]
Personalization (engraving, etc.): [______________________________]

Payment Terms

Total Order Amount: [________________] CHF
Deposit (30% of total amount): [________________] CHF
Balance Due Upon Delivery: [________________] CHF

Deposit Payment Method

 Credit Card
 Bank Transfer
 Twint
 Other: [________________]

Payment Authorization

I, the undersigned, [Last Name and First Name], authorize SAWAN to debit the deposit amount of 30% of the total order amount above.
Signature: [______________________________]
Date: [//________]

General Conditions

1. The 30% deposit is non-refundable unless required by law.
2. The balance is due when our customer service informs you that the creation is ready to be sent.
3. Personalized jewelry cannot be canceled or returned unless required by law.

Form Submission

Please send this completed and signed form to the following email address: info@msbjewelry.ch