We thank you for choosing Jewel Box Platinum for your cutting edge Gold and Platinum Awards.

All orders must be approved by corresponding record label
Record label authorizations take approx. 2-3 weeks

To help us facilitate your order, please supply us with the following information.

Name (first, middle, last):
Email:
Additional Names:
Address:
City:		State/Province:		Zip:
Phone:		Fax:		Other_Phone:

Project Descrpition

Artist:		Title:
Label:		Name as it is to be inscribed:
Affiliation with Project: (i.e. Producer, engineer, artist,et.)

Award Layout

Layout Requested:		Premium Upgraded Frame: Y/N
Any additional info

Shipping Address (if different from above)

Address:
City:		State/Province		Zip

* Please note that a product cd is required for all standard awards and select custom awards.
If you are unable to provide us with it, a 25.00 surcharge will be added to your invoice.