Order Form

If you would like to order any jewelry from the Jana's Jewels Web site, please make your selection below and e-mail your order to Jana at janasjewels@isp.com.

Personal Information Last Name: First Name:
Street Address:
City: State: ZIP: E-mail Address:
About Your Order Select the types of jewelry that you are interested in purchasing:
Necklaces Bracelets Watches

Credit card type: Credit Card number: Expiration date:


Additional Comments Would you like to receive our e-mail newsletter with valuable coupons? Yes No

What other types of jewelry, in addition to those shown, would you be interested in purchasing?

Thank you for your order.
Jana's Jewels




GoBackToKatiesHomepage