Print this page, complete form, then Fax Or Mail as shown below:
B.Kracht, Inc.
10222 N.W. 53rd Street,
Sunrise, Fl  33351
Phone: (954) 572-7253
FAX (954)-572-2524

ORDER Descripton :___________________________________________________

Cardholders Name (as shown on card): _______________________________

Card Account #:
____________________________ Exp. Date: _________

Issuing Bank
:________________________CVV #:________(click for details)

Bank Phone #(customer service # on back of card):
_______________

Credit Card Billing Address: (where card statements actually are mailed to you) __________________________________________________________
__________________________________________________________

Your Shipping Address: (skip if same as billing) ___________________________________________________
___________________________________________________

Phone #:(    )_____________ Email address____________________

I hereby authorize Studio BK (B.Kracht, Inc) to charge my credit card for the purchase of jewelry for the amount of $_______________ Plus Shipping.

Product Order Terms and Conditions
1. All returns for credit or refund must be received by B.Kracht, Inc. within 30 days of delivery date.
2. Custom made orders are NOT refundable or exchangeable; quality IS Guaranteed.
3 . 30-day money back guarantee less 15% restocking fee, shipping not refundable.
4 . No returns without prior email or written authorization.

I confirm the product order described above and agree to the terms and conditions listed above.

Name: _____________________________________    

Signature: _______________________________ 
   Date:_________________