Jewelry Order Form
You can email your order by clicking the SUBMIT button below or 
print this form & fax your order toll-free anytime to:
1-866-5HEAVEN 
Or call us Mon-Fri 10AM-6PM EST at the same number.
Internationally Call 1-201-262-0788


Customer Name:  
Customer E-mail address:  
Daytime Phone: (           )-           -             
You Can Submit Your Order Here:
(We will email you a confirmation of your total, including shipping within 24 hours)
All orders are guaranteed to be shipped within 2-3 days of payment.
Evening Phone: (           )-           -             
Shipping Address
(If different from billing address)
Billing Address
 (Required)
Credit Card Information
Card Account Number
Expiration Date
We accept
 Visa, Mastercard, American Express & Discover, Paypal & Money Orders 
~Vintage Bridal Jewelry~
A Division of Headpiece Heaven
PO Box # 3
Oradell, NJ  07649
CALL Toll-Free
1-866-5HEAVEN
Style Number
Quantity     
Credit Card
Additional Comments & details needed ( posts, earwires, clip-ons, etc):
c/o
Street
Apt#
City
State
Zip
c/o
Apt#
Street
City
Zip
State
Which search engine, directory, or magazine led you to our website?
Thank you for your order!
SO#
SO#
SO#
SO#
SO#
SO#
Event Date: ( If Applicable) 
Description~  Spelling for name necklaces 
                          or Color Choices for Jewelry   
SO#
SO#
VINTAGE WEDDING JEWELRY
Necklaces & Sets          Bracelets        Earrings     

VINTAGE  & ANTIQUE ESTATE JEWELRY
Click Here to View Our Collection
 

 HOW TO CONTACT US    ~     SHIPPING INFORMATION

HEADPIECE HEAVEN       

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Enter Discount Code If applicable
*If you are paying through Paypal, we will send you an invoice once you submit your order.
Please send me a PAYPAL invoice
Gold 
or Silver    
Confirm Your  E-mail address:  
Enter Gift Certificate Order Details
Please fill in the blanks for what you would like the gift certificate to say.
 has been given a gift certificate by
 for  $
 worth of jewelry from our website.
Person Certificate is for:
Add your personal message here:
Should we email or mail your Gift Certificate?
Email address for the Gift Certificate 
(Please enter carefully)
OR    Fill in the mailing address below.
Email date for the Gift Certificate 
Person Certificate is from:
Country (if not USA)
Country (if not USA)
Security Code
OR text.
Check This Box