YOUR RING ORDER SUMMARY

Date: 10/6/2010 Conf: # 33068074-40649 Exp. Date: 6/30/2011

Name: Ron Tayo Customer #: 08962535
Address: 4217 Maxwell Court School: Green Run High School
Virginia Beach, VA 23453 Phone: 7577741865
Email: rontayo@yahoo.com
Ring Choice Size Grad Year Outside Initials Accent Stone(s) $ Add On
1
Atlantis (T13) - Men's 07.5 12
Metal Choice Metal Finish Palm Side
2
White Lustrium® Antique (traditional) Smooth Band (traditional)
Inside Engraving Other / Stone Band Personalization (A39/A40)
3
Ron Benjamin R. Tayo
Ring Side 1 Raised Name Number Position Diamond $ Add On
4 Yeardate
School Mascot 2012
Ring Side 2 Raised Name Number Position Diamond $ Add On
Yeardate
Music TF3 GRHS
Stone Color Stone Option/Cut Encrusted / Top Initial DuraColor
5
January Garnet Facet Premier
2nd Stone Color Special Instructions (office use only)

OFFICE USE ONLY (shaded areas) PC Initials

PRICING $ US $174.99
Crest
JPP CUS SQT Added Product: _____ _____ _____

Ring Protection Plan _____ _____ Check Number

_____ _____ _____
STANDARD PLAN - 4 YEARS (INCLUDED)
_____ _____ _____
Jostens accepts Visa, MasterCard, Discover and American Express HANDLING US $5.99
Circle One: | Paid in Full | Jostens J-Pay™ | Deposit Only |
SUBTOTAL
Credit Card Amount $ ___ ___ ___ . ___ ___ Exp. Date: ___ ___ / ___ ___
TAX
Number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
TOTAL
Signature: ______________________________________________________________
AMOUNT PAID
This is a customized product. Cardholder understands payment(s) may be
charged before products are delivered. Please allow 6 - 8 weeks for delivery. BALANCE DUE

............................................................................................
CONSUMER RECEIPT Name: Ron Tayo Confirmation Number: 33068074-40649
Sales Rep Name:.Todd Owens Nova Recognition Inc Phone:757-366-9644 Email:todd.owens@jostens.com
Atlantis (T13) - Men's, Metal Choice=White Lustrium® Metal Finish=Antique (traditional) Stone Color=January Garnet Stone Options=Facet Premier Ring Side
1=School Mascot:2012 Ring Side 2=Music TF3:GRHS Inside Engraving=Full Name:Ron Benjamin R. Tayo Palm Side=Smooth Band (traditional) Graduation
Yeardate=2012 Ring Size=07.5 Ring Protection Plan=Standard Plan - 4 years (included)

Select One: _____ Accent Stones TOTAL

Paid in Full _____ S1 Grad YR Dia
AMOUNT PAID
Jostens J-Pay? _____ S2 Grad YR Dia
Deposit Only _____ P.C. Crest BALANCE DUE
You may cancel this order within 3 business days from its placement without charge; thereafter cancellations will be subject to a $75 cancellation fee. You may change this
order within 7 business days from its placement for no additional charge and within 8 to 14 business days for a $25 charge. No changes are allowed after 14 business days from
placement of this order. NOTE: Shipping charges may be added at time of order.
Order is subject to audit. Computational errors will be corrected on invoice. Orders are subject to acceptance by Jostens.
2nd Atlantis
Atlantis (T13) ­ Men's