Star Order Form

Use;  Visa, American Express or Mastercard 
on this secure order form

Your Name

Address 
                     (Address to be shipped)

City  State  Country  Zip Code 

E-mail 

Name of Star: 

Date of Certificate  
                      (birthdays, anniversaries, etc,) give month and day, current year will be used.

Daytime Phone 

Home Phone 

This is a Gift from 
                                     ( If being shipped direct to recipient)

Prices: Unframed; $49.95     Framed $99.95 
                                                            (Framed orders not available to international orders)

Please Enter Subtotal   

Shipping & Handling 

CA Residents add 7.75% Sales Tax 

Please Enter Total


Type Charge Card?         Expiration Date 

Card Number 


You may also:
    Phone your order to: (760) 630-8998 or
    Fax to: (760) 630-8188 (Print this page) or
    Mail to: NRS; 4061 Oceanside Blvd., Suite M; Oceanside, CA. 92056

Return to Directory