How To Order From:

To Order our merchandise:

1. Print out this order form!!!
   
2. Complete our order form and mail or fax the form back to us.
   
3. Mail in your orders by Money Order, Cashier's Check, check (all checks are held for 14 days before orders are processed), Visa, M/C, Discover or American Express.
   
4. Make check or Money Orders payable to : Reilly's Treasured Gold, Inc.
   
5. Fax your order to us with the credit card information filled out to 1-954-971-0575, our fax machine is on 24 hours a day.
   
6. All International orders should be called in or faxed in with a credit card.
   
7. Send your orders to our mailing address at:
   

E-mail address: (if any)_________________________________

Shipping Address:___________________________________________________________

City, State, Zip______________________________________________________

Telephone:_________________________________________________________

Fax, If any:_________________________________________________________

______ - _____-__________________________________-___________

______ - _____-__________________________________-___________

______ - _____-__________________________________-___________

______ - _____-__________________________________-___________

______ - _____-__________________________________-___________

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SubTotal - ______________________________________-__________

6% tax (FLORIDA residents only)_____________________-__________

Add (see chart) for shipping & handling in U.S. only __________-___________

• Add $8.00 for s&h for all orders up to $35.00
  Add $12.00 for s&h for all orders from $35.01 to $70.00
  Add $16.00 for s&h for all orders from $70.01 to $99.99
  Add $20.00 for s&h for all orders from $100.00 to $149.99
  Add $25.00 for s&h for all orders from $150.00 to $199.99
  Free s&h on all orders over $200.00 in U.S. only! (48 states only)
  

Please charge to my Visa Card:_____
Please charge to my Master Card:_____
Please charge to my American Express:_____
Please charge to my Discover Card:_____

Name on the credit card:___________________________________________

Credit Card number:______________________________________________

Expiration date:__________________________________________________

CVV2 number located on back of card:_______________________________
(Last 3 digits for Visa, Discover & Mastercard. American Express is 4 digits on front of card.)

Signature:______________________________________________________

Card Bank Name_________________________________________________

rtgsales@rtgstore.com