Pizzaz Order Form

Print this page, completely fill out the information, then fax your order to 1-252-321-2512. One of our lovely divas will call you to confirm receipt of your order.

Customer Name:____________________________________

E-mail:____________________________________________

Shipping Address:___________________________________

City:______________________________________________ State:________ Zip:___________________

Telephone: (______)__________-___________ Best Time to Call: ________________________________

Credit Card Number______________________________________ Expiration Date___________________

Shipping Chart:

Pizzaz Jewelry & Gifts. 639 Red Banks Rd. Greenville, NC 27858. 1-866-7PIZZAZ.