The Beaded Bear Logo


Order Form - Print and Mail

or use our Paypal on-line shopping cart


Email address

Name

Address

City

State

Zip Code

Phone

Method of Payment:

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Card Number

Expiration date:

Zip Code (Billing Address of card)

CID # (last 3 digits on back of cc)

Please be advised, order my patterns available on bead-patterns.com

directly from http://www.bead-patterns.com or contact me directly before ordering.

Detailed Description of Item(s) Number of item(s) Cost per unit Sub-Total cost
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Shipping/Handling Charges

$0.01 - 18.00 USD 2.95
18.01 - 40.00 USD 3.95
40.01 - 150.00 USD 5.95
150.01 - 400.00 USD 7.95
400.01 and up FREE
Please print and mail this form to:

The Beaded Bear
P.O. Box 577916
Modesto, CA 95357


Returned checks are subject to a $25.00 fee per incidence.


All Sales Final
No Returns		 Subtotal

Shipping

California residences add state tax (7.375%)

Grand Total


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