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                   The Practical Guide to Jewelry Appraising
                              Book Order Form
            *** PLEASE COMPLETE THIS FORM. MAIL or FAX to AGS ***
                                          FAX (702) 255-7420
               AGS ** 8881 W. SAHARA AVE. ** LAS VEGAS, NV 89117 ** (702) 255-6500 ext 1034




                                   PERSONAL INFORMATION

FULL NAME          PLEASE PRINT


____________________________________   _________________            _________________________________
FIRST                                       MIDDLE                  LAST



HOME ADDRESS

STREET/P.O. BOX _________________________________________________________________________________


CITY/STATE/ZIP__________________________________________________________________________________


PHONE__________________________________________E-MAIL__________________________________________




                                PROFESSIONAL INFORMATION


STORE NAME_________________________________________________________________________________________


ADDRESS_____________________________________________________________________________________________


CITY/STATE/ZIP______________________________________________________________________________________


PHONE___________________ FAX_________________________E-MAIL_______________________________________




                                  The American Gem Society
                              8881 W. Sahara Avenue * Las Vegas, Nevada 89117
                                                Page 1 of 2
SHIP TO:     _____STORE                _____HOME

PER BOOK            $69_____                         AGS MEMBER* $59____

*Membership will be verified at time of enrollment


SHIPPING AND HANDLING              $10 FedEx GROUND.

Call for quote to Hawaii or Alaska and for multiple books to one location.


Please make check payable to the American Gem Society.

TOTAL CHECK ENCLOSED $________________ or

Provide CREDIT CARD INFORMATION:




               VISA, M/C, AMEX________________________________________________

                                 Expiration date___________ Security Code**__________

               Name on Card_____________________________________________________

               Signature________________________________________________________


               Billing Address of Cardholder________________________________________
               ________________________________________________________________

               **       For Visa and MasterCard, the Security Code is located on the back of your credit
                        card. For American Express, the Security Code is located on the right front of the
                        credit card, just above the card number.


TOTAL AMOUNT CHARGED TO CREDIT CARD TO INCLUDE SHIPPING AND HANDLING

$____________________________

To request a copy of the credit card receipt, please provide a fax number_________________________



                                        Keep a copy of this order for your records
                                                     mspence@ags.org


                                                                                                             Thank You
                                          The American Gem Society
                                     8881 W. Sahara Avenue * Las Vegas, Nevada 89117
                                                       Page 2 of 2

				
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Description: Sales Associate Profile document sample