This form can be faxed to (561) 833-2619      Shipping and Handling fees: 
                   (voice) (561) 833-8611          ___UPS Ground:.........$8.95    
   or mail to:     A.D.Ventures Inc.               ___UPS 3-Day Air:......$10.95     
                  1603 S. Dixie Hwy.               ___UPS 2-Day Air:......$13.95 
             West Palm Beach, Florida 33401        ___UPS Next Day Air:...$24.95        
                        
                    (Please place an 'x' next to desired method of delivery)


Item Description____________________________________________________

Item Number________________________________________________________

We accept the following methods of payment: Visa, Master Card, American Express, Personal Checks and Money Orders.

(Please print)

Name______________________________________________________________

Address____________________________________________________Apt/Ste.#____

(if different)

Shipping address _____________________________________________Apt/Ste.#____

Phone day/evening/fax________________________________________________

e-mail address_______________________________________________________

Method of Payment Visa/MC/AmEx # ___________________________________

Expiration date ______________________________________________________

Comments or Instructions; please use this space for any information such as ring size, or any special delivery instructions.






I have read the conditions of the sale and understand that there will be a 10% re-stocking fee for all returns, unless there was an error in shipping. There will be no returns after 14 days. -


(signature of card holder)____________________________________________________________