Lampwork Bead Order Form
Name
Address
City
State
Zip Code
Phone
[Format xxx-xxx-xxxx]
Fax
[Format xxx-xxx-xxxx]
Email
Crystal Ball Beads
Color
Quantity
Price
A1 Gold
Lg
Med
$4.00
$2.40
A2 Silver
Lg
Med
$4.00
$2.40
A3 Pink
Lg
Med
$4.00
$2.40
A4 Blue
$4.00
$2.40
A5 Copper
$4.00
$2.40
A6 Seafoam
$4.00
$2.40
B1 Turquoise/Gold
$4.00
$2.40
B2 Grape
$4.00
$2.40
B3 Blue/Copper
$4.00
$2.40
B4 Blue/Gold
$4.00
$2.40
B5 Emerald/Blue
$4.00
$2.40
B6 Blue/Blue
$4.00
$2.40
B7 Lilac/Blue
$4.00
$2.40
B8 Lilac/Gold
$4.00
$2.40
B9 Lilac/Pink
$4.00
$2.40
B10 Spring
$4.00
$2.40
Payment can be made by Paypal, details will be provided at the time of order.