Order Form


Please print out this form, list the pieces you want, and return the form with payment to:


Diana’s Jewels

Shirley Diana Starke

3408 120th Ave. SE

Valley City, ND 58072



Title of item as it appears on page

How Many

Price Each

Total Price

























































































Postage: $1.50 for the first item, $.25 for each additional


Insurance: $1.30 (optional for costume jewelry; required for genuine)


Total Enclosed



We pay the additional insurance for orders over $50!