Please print and fill out this form, then send to:

Galina Barskaya
2151 Paseo Del Oro
San Jose, CA 95124


Model #
Bead color
Stones
Length
Price
Amount
Total
             
             
             
             
             
 
Your Total Order Amount Shipping Charges   Books Shipping Charges
Patterns or Set of patterns (by e-mail) FREE    for the United States FREE
Up to $20 $3   for All Other Countries  
Up to $40 $4   One book 6$
Up to $60 $5   Two books 10$
Up to $100 $6   Three books 13$
Up to $200 $8      
$201 and more $10      
 
Gift wrapping ($2 per piece/set):
Total:
Shipping address:
Name:
  
Street Address:
  
Street Address:
  
City:
  
State / Province:
  
Zip / Postal Code:
  
Country:
  
Phone Number:
  
Fax Number:
  
Email Address:
  
Email Confirmation (Yes/No):
  
Check No. _______________ Amount: _______________

Thank you for your order!

 

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