Spring Collection 2017

LINE QTY PAGE # ITEM #

DESCRIPTION

PRICE

TOTAL

1 2 3 4 5 6

TOTALS

Method of Payment: Check (Make check or money order payable to The Ben Silver Corporation)

Total from above table S.C. Residents add 8.5% Sales Tax Shipping & Handling (see below) Gift Card (no tax or shipping charge)

American Express Discover MasterCard Visa Carte Blanche Diners Club JCB

Credit Card:

GRAND TOTAL

CARD NUMBER

Order Total Shipping Charge $ 0- $ 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5.95 $ 26- $ 99 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 9.95 $ 100- $ 250 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15.50 $ 251+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16.50 Except for custom orders, you may return your purchase for exchange or refund within 30 days of receipt, as long as it is in saleable condition. Please be sure to return the package, insured and prepaid, to:

EXPIRATION DATE Signature

Ben Silver Distribution Center/Returns 287 East Bay Street, Charleston, SC 29401

If you can’t decide on a gift, why not present our gift card? We can send the card to you to present, or, if you prefer, we can send it to the recipient directly. GIFT-CARD.

Order Online: www.bensilver.com

Bill To:

Phone: (Day)

(Evening)

Order by Mail: 149 King Street Charleston, SC 29401 Order by Fax: 1-843-723-1543 1-800-U-FAX-BEN Order Toll-Free (EST): 1-800-BEN-SILVER 1-800-221-4671 Monday-Friday 9am-6pm Saturday 10am-6pm Sunday seasonal hours, check our website Prices effective until July 31, 2017

Email Name Address City

State

Zip

Ship To: (If different than bill to) NOTE: FedEx can not deliver to PO Box addresses.

Name Address City

State

Zip

Is any line a gift? Line Gift Information:

Do you require gift boxes?

Gift Card or Gift Message:

S17ORDFORM

Is there a date by which you must have a delivery — a birthday, etc.? For last minute orders or oversold items, we send a special gift card which usually does the trick.

60 | www.bensilver.com