Secure Web Page
Doc Tock Medic Alert Jewelry
Milne Jewelry ~ The Name You've Trusted Since 1951

Secure Electronic Order Form

Please fill in the order form below. The billing information must match exactly with the information your credit card company has on file. You can also order by phone.

International Orders: We can only ship to the billing address which must match exactly with the information your credit card company has on file. We cannot ship to some countries.

Please Note: We value our customers and are committed to the protection of the personal information you are trusting us with. Because of this, we have opted not to use a shopping cart, all of which go through third parties. We do not charge your card until we ship. All information you give us is encrypted and kept secure and private on our server at XMission, one of the nations oldest and most respected ISPs. We will never sell or share your information with third parties.

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Billing Information (must match exactly with information credit card company has on file):
*Required

- Name*
- Street Address*
- City*
- State/Province*
- Zip/Postal Code*
- Country*
- Day Phone No.*
- Night Phone No.*
- E-Mail Address*

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Shipping Information: (if different from billing address - US only):

- Name
- Street Address
- City
- State/Province
- Zip/Postal Code
- Country
- Day Phone No.

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Method of Payment:

Visa MasterCard American Express Discover

- Name on Card
- Account No.
- Expiration
- CVV2 Code
- Bank Issuing Card

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Items Ordered:

Item I
- Item No.
- Description
- Quantity
- Unit Price
- Item 1 Subtotal

Item 2
- Item No.
- Description
- Quantity
- Unit Price
- Item 2 Subtotal

Order Total
- Item 1 and 2 Subtotal
- Shipping, Handling and Insurance
- Sales Tax (Utah Residents Only - 6 3/8%)
- Order Total

Within the United States, add:
$ 8.95 for shipping, handling & insurance for orders up to $50.00.
$10.95 for shipping, handling & insurance for orders $51.00 to $100.00.
Add $ 4.00 for each additional $100. (USPS Priority Air Insured)
$24.00 - Express for one item. Add $6.00 for each additional item.

International, add:
Express Mail Insured - $36.00 for one item shipping, handling and insurance.
Add $5.00 for each additional item. (allow 10 to 20 business days for delivery).
May not be able to ship to some countries.

Please be sure an E-Mail Address and Phone Number is included on your order.
We use the United States Postal Service for all shipping.

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If you have any questions, need information or would like to place
an order, contact us at: E-Mail / Voice: 435-673-2552

Copyright © 2002-2017 Doc Tock & Milne Jewelry. All Rights Reserved.
Graphics Copyright © Milne Jewelry.
Photographs Copyright © Doc Tock & Milne Jewelry.
No part of this web page may be used without written permission of Mine Jewelry.
Protected Under Utah, US & International Copyright & Intellectual Property Laws.
Authorized Doc Tock Medical Information ID Jewelry Dealer.
Hosted by XMission using 100% Renewable Wind Resources Clean Energy.

Milne Jewelry ~ Established 1951 ~ Online Since 1994
43 East St. George Blvd.
St. George, Utah USA
435-673-2552
 

Keep your personal medical information with you at all times with the Doc Tock collection of bracelets, necklaces and watches. Each piece is engravable and includes the medical alert symbol.