Platinum Promotional Supplies Order Form

	Name: *
	Company: *
	Address: *
	City, State, Zip: *
	Telephone: *
	Fax:
	How did you hear about us?:	If "Other" please specify:

	E-mail Address: *
	Web Site
	Number of Stores:
	Classification (primary business):	Bench Jeweler Caster Designer/Manufacturer Retailer Supplier Wholesaler Other (specify)

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I am interested in more information on:

Ad Tear Sheets/Ad Slicks/Branding

Sales Training

Online Catalog & Marketing Tool Kit

Technical Information

Please fill in the fields below and click "Submit" when finished. You will receive confirmation of your order sent to the e-mail address provided above. If your order requires payment, a Platinum Guild representative will contact you shortly with the cost. All orders must be pre-paid.

Orders may also be submitted by:

Mail (please include check or credit card information): Platinum Guild International USA, 500 Fifth Avenue, Suite 5120, New York, NY 10110
Phone: 212-404-1609
Fax: 212-730-7798

Please complete items marked with *

Select Items
Items	Price	Quantity	Total
Promotional Items
In-case Signage	No Charge
Platinum Tags	No Charge
Platinum: A Buyer's Guide	No Charge
Platinum: Brochurettes, 2" x 2"	No Charge
Men's Engagement & Wedding Rings Guide	No Charge
Platinum Ambience (DVD Loop)	No Charge
Take Back The Wedding DVD (For Training Purposes)	No Charge
Platinum Heritage (DVD Loop)	No Charge

Sales Education Items
Sales Tip Card: Selling Tips	No charge
Sales Tip Card: Frequently Asked Questions	No charge
Sales Tip Card: Value Statements	No charge

Technical Items
Platinum Manufacturing Process Papers XII	No charge
The Platinum Expert Collection Instructional DVD	No charge
Platinum Bench: Articles from the Platinum Bench	$22.95
Platinum Technical Tip Card Series	No charge
Adventures At The Bench	$34.95
		TOTAL