1121 E. El Segundo Blvd Web Sales Order Form Rev 1.94 01-MAR-05
El Segundo, CA 90245 Customer Bill To Code
(310) 322-3444 FAX: (310) 322-4515 *
www.crislu.com
TO ORDER TOLL FREE:
PHONE: 1-800-4-CRISLU PO# Start Date
FAX: 1-888-4-CRISLU * * StartMonth 01 02 03 04 05 06 07 08 09 10 11 12 StartDay 01 02 03 04 05 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 StartYear 2005 2006 2007 2008 2009 2010
Cancel Date
* CancelMonth 01 02 03 04 05 06 07 08 09 10 11 12 CancelDay 01 02 03 04 05 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 CancelYear 2005 2006 2007 2008 2009 2010 :
Attn:
Example Completed Line Item:
Lin# Finish QTY Style No. Size Color
1 14K 2 6809E E00 - NO SIZE CH - CHAMPANGE
FINISH SSP SSV 14KY 14KW Select Size B65 - BRACELET SIZE 6.5 B70 - BRACELET SIZE 7.0 B75 - BRACELET SIZE 7.5 C00 - CLIP EARRING D00 - CLIP AND POST EARRING E00 - EARRING NO SIZE L00 - LEVERBACK NO SIZE R50 - RING SIZE 5.0 R55 - RING SIZE 5.5 R60 - RING SIZE 6.0 R65 - RING SIZE 6.5 R70 - RING SIZE 7.0 R75 - RING SIZE 7.5 R80 - RING SIZE 8.0 R90 - RING SIZE 9.0 N16 - LENGTH 16 INCH N24 - LENGTH 24 INCH N30 - LENGTH 30 INCH N36 - LENGTH 36 INCH N42 - LENGTH 42 INCH N48 - LENGTH 48 INCH S00 - SET Select Color AM - AMETHYST AQ - AQUAMARINE BK - BLACK BKX - X CLASP BKY - BALL CLASP BKZ - ROUND CLASP CA - CANARY CH - CHAMPANGE CT - CITRINE CZ - CUBIC ZIRCONIA DR - DUSTY ROSE EM - EMERALD GT - GREEN TOURMALINE GY - GRAY GYX - X CLASP GYY - BALL CLASP GYZ - ROUND CLASP MLT - MULTI PD - PERIDOT PI - PINK PT - PINK TOURMALINE RU - RUBY SA - SAPPHIRE SQ - SMOKEY QUARTZ TA - TANZANITE WT - WHITE WTX - X CLASP WTY - BALL CLASP WTZ - ROUND CLASP
Form Last Revised: 03/30/2010