Lampwork Bead Order Form
	Name Address City State Zip Code Phone [Format xxx-xxx-xxxx] Fax [Format xxx-xxx-xxxx] Email Marble Swirl Beads   Color Quantity Price Spring green w gold/blue $4.80 Copper on black w gold/blue $4.80 Red w gold /seafoam $4.80 Turquoise w pink/silver $4.80 Lilac pink w gold blue $4.80 Cobalt w pink/silver $4.80   Payment can be made by Paypal, details will be provided at the time of order.