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LINE QTY PAGE # ITEM #

DESCRIPTION

PRICE

TOTAL

1

2

3

4

5

6

Method of Payment:

Check

(Make check or money order payable to The Ben Silver Corporation)

Credit Card:

CARD NUMBER

EXPIRATION DATE

Signature

TOTALS

Total from above table

S.C. Residents add 8.5% Sales Tax

Shipping & Handling

(see below)

Gift Card

(no tax or shipping charge)

GRAND TOTAL

American Express Discover MasterCard

Visa Carte Blanche Diners Club JCB

Order Total

Shipping Charge

$

0-

$

25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

5.95

$

26-

$

99 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

9.95

$

100-

$

250 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

15.50

$

251+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

$

16.50

If you can’t decide on a gift, why not

present our gift card? We can send the

card to you to present, or, if you prefer,

we can send it to the recipient directly.

GIFT-CARD.

Order Online:

www.bensilver.com

Order by Mail:

149 King Street

Charleston, SC 29401

Order by Fax:

1-843-723-1543

1-800-U-FAX-BEN

Order Toll-Free (EST):

1-800-BEN-SILVER

1-800-221-4671

Monday-Friday 9am-6pm

Saturday 10am-6pm

Sunday seasonal hours,

check our website

Prices effective until

July 31, 2017

S17ORDFORM

60

|

www.bensilver.com

Except for custom orders, you may return your purchase for

exchange or refund within 30 days of receipt, as long as it is

in saleable condition. Please be sure to return the package,

insured and prepaid, to:

Ben Silver Distribution Center/Returns

287 East Bay Street, Charleston, SC 29401

Name

Address

City

State

Zip

Is any line a gift? Line

Do you require gift boxes?

Gift Card or Gift Message:

Is there a date by which you must have a delivery — a birthday, etc.?

For last minute orders or oversold items, we send a special gift card which usually does the trick.

Phone: (Day)

(Evening)

Email

Name

Address

City

State

Zip

Ship To:

(If different than bill to)

NOTE: FedEx can not deliver to PO Box addresses.

Bill To:

Gift Information: