P/.20CT/10KT/WG
$250
PE0612T-04W
E/.25CT/10KT/WG
$275
EA0405T-04W
ES/.92CT/14KT/WG
$1,510
ES0436C-02W
ES/1.00CT/14KT/WG
$1,530
ES0437C-02W
ES/.97CT/14KT/WG
$1,780
ES0504C-02W
Customer Name:
Account #:
Customer Address:
City:
State:
Zip:
Contact Person:
Email Address:
Telephone:
Fax:
Company Name:
Contact Person:
Phone #:
Email Address:
Address:
City:
State:
Zip:
Shah Group of Companies
Shah Diamonds Erth Gem International
Your Way
Program
ITEM ORDER FORM 2013