Lampwork Bead Order Form
Name
Address
City
State
Zip Code
Phone
[Format xxx-xxx-xxxx]
Fax
[Format xxx-xxx-xxxx]
Email
Heart Beads
Color
Quantity
Price
Cobalt Heart
$9.50
Lilac Heart
$9.50
Red Heart
$9.50
Clear Heart with red overlay
$9.50
Clear Heart with cobalt overlay
$9.50
Clear Heart with lilac overlay
$9.50
Clear Heart with sky overlay
$9.50
Clear Heart with spring overlay
$9.50
Clear Heart with turquoise overlay
$9.50
Clear Heart with emerald overlay
$9.50
Clear Heart with bronze overlay
$9.50
Clear Heart
$9.50
Sky Heart
$9.50
Spring Heart
$9.50
Turquoise Heart
$9.50
Emerald Heart
$9.50
Bronze Heart
$9.50
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Payment can be made by Paypal, details will be provided at the time of order.
