Order Form

Welcome to SapphireLane's online payment form.
Instructions: Simply type the information in, click print, and send along with your payment to the address below.

Qty: Item #: Price $ Options:
Qty: Item #: Price $ Options:
Qty: Item #: Price $ Options:
Qty: Item #: Price $ Options:
Qty: Item #: Price $ Options:
Qty: Item #: Price $ Options:
Shipping: UPS Ground $6.75 (faster shipping options available, please email for quote)

Order Total: $ If you are shipping to Connecticut, please add 6% sales tax to your total

Shipping Information: First Name*: Last Name*:
Street*:
City*: State*: Zip*: Sorry, we do not ship outside the US.

Billing information: Same as shipping
First Name*: Middle Initial: Last Name*:
Street*:
City*: State*: Zip*:
Email*: Phone*:

*Required field. Orders received without an email address and telephone number will not be processed. Your email address will become your SapphireLane login ID. Your SapphireLane password will be the word: welcome. If you do not currently have an email address you can borrow a friend's or get a free one at Google or Yahoo.

Payment type: Money Order (Sorry we do not accept checks)

Return Policy: I have read, understand and agree to the Return Policy: Yes No
Please sign here:
Please note that we cannot guarantee stock availability at the time your payment is received.
Send this completed form with payment to: Sapphire Lane, 91 Litton Ave, Groton, CT 06340