J & C Collectibles Order Form
Item # Description Color/Power Cost     X Quantity     = Item
Cost
100 Loupe, Jewelers
10 Power 17mm Silver
____________ $8.75 ____________ ____________
105 Loupe, Jewelers
10 Power 17mm Gold
____________ $8.75 ____________ ____________
110 Loupe, Jewelers
10 Power 21mm Silver
____________ $9.75 ____________ ____________
115 Loupe, Jewelers
6X 8X & 14 Power
____________ $8.75 ____________ ____________
125 Loupe, Eye 5 Power
Spectacle Frame
____________ $8.75 ____________ ____________
130 Loupe, 30 Power - Gold
Metal Frame 14mm Lens
____________ $30.00 ____________ ____________
200 Magnifier Folding
3 Power Glass Lens
____________ $5.75 ____________ ____________
205 Magnifier Sliding
10 Power Glass Lens
____________ $5.75 ____________ ____________
210 Magnifier Set of 3
5X (2", 2 1/2", & 3")
____________ $10.00 ____________ ____________
215 Dual Lens Bino Mag
Velco Strap
____________ $15.00 ____________ ____________
220 Magnifier Folding
6 Power Glass Lens
____________ $5.75 ____________ ____________
225 Magnifier
Multi Power, 2 Lens
____________ $6.05 ____________ ____________
400 Loupe, 30X Triplet ____________ $30.00 ____________ ____________
405 Jewelers Loupe, Triplet lens, 15X, 18MM ____________ $25.00 ____________ ____________
415 Loupe, 20 X Triplet 21mm ____________ $25.00 ____________ ____________
R1729 Slim Line Reading Glasses
Color Gray, Black, Gold, Blue, Silver
Power from +1.00 to +4.00
____________ $7.50
2 Minimum
____________ ____________
           
Send Order Form with Check or Money Order to:
              J&C Collectibles
              P.O. Box 137
              O'Fallon, Illinois 62269
Shipping & Handling

Grand Total
____________

____________

Order For:     (NOTE: USA Orders Only)
              Name: _____________________________________________
              Address: __________________________________________
              City, State, Zip Code: _________________________________
              EMail: ____________________________________________
Shipping and Handling
$0 to $75.00 Purchase -- $2.95
Over $75.00 Purchase -- $3.95


Notes: Allow 2 - 4 weeks for delivery. Send EMail questions/comments to -- jcpine@icss.net