Honors Jewelry Order Form

This form allows group representatives or individuals to purchase Honors jewelry. Once the order is received it will be processed at International Headquarters. Contact us for questions or follow-up inquiries.

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Are you purchasing jewelry after the 2022 recipients were announced at International Convention?

Yes

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Are you pre-paying for Honors jewelry before Convention and received a total amount from International Headquarters?

Yes

Petitioning Group Name (ex. Epsilon Zeta Chapter, Austin Alumnae Chapter)

Contact Information (Individual Completing Order)

First Name(Required)

Maiden Name (if applicable)

Last Name(Required)

Initiating Chapter

Phone

Email(Required)

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Petitioning Group Pre-Pay Information (For groups attending Convention)

Enter Invoice Amount

This option is for petitioning groups who receive an email indicating the total amount due for invoice purposes.

Additional Order Information (optional)

Recipient(s) Jewelry Selection

Indicate the color of the jewelry to ensure proper items are shipped.

Name of Member(s) Receiving Jewelry

Arc

Price: $15.00

Color

Arc with DIAMOND

Price: $55.00

Color

Arc with DIAMONDS

Price: $85.00

Color

Arc with Diamonds and PEARL

Price: $99.00

Color

Arc with Diamonds and PEARLS

Price: $125.00

Color

Shipping Fees(Required)

Enter $7.50 for shipping and an additional $.50 per $100 value. If not having jewelry shipped, enter $0.

Additional Order Information or Comments (optional)

Total Amount Due

Total

Petitioning Group Acknowledgement

Confirmation(Required)

I have verified this order with the petitioning group and they are aware of the amount due. Please mark the last option if you are paying for the order instead of ordering on behalf of the petitioning group.

Yes

Paying as an individual and not being reimbursed by the group

Shipping Information

Alumnae groups and collegiate chapters are responsible for mailing pieces directly to recipients.

Is the billing and shipping address the same?

Yes

First Name

Last Name

Shipping Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Information

Credit Card Information(Required)

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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