Heart to Heart Beads Home Page  >>  Order Form Handcrafted Gemstone and Bead Jewelry
4843 W. 106th Street
Zionsville, IN 46077
Handcrafted Silver and Gold Jewelry

How to Order:
  1. Print this form by clicking the gray button.
  2. Write your name, address, etc. in the provided blank spaces.
  3. Enter the merchandise you wish to order on the form, one item per line. Be sure to include the Style #, Description and Price for each item ordered. (For personalized "Name" bracelets, clearly print desired "Name" in Description area.)
  4. Make your check for total payable to "Tracey Smith". All prices include shipping fees.
  5. Mail the completed Order Form and your signed check (payable to "Tracey Smith") to Heart to Heart Beads at the address shown above.
 

Primary Address:

Name: _________________________

Address: _______________________

City: ___________________________

State: ____  Zip:__________________

Phone: _________________________

Fax: ___________________________

Email: __________________________

"Ship To" Address: (if different)

Name: _________________________

Address: _______________________

City: ___________________________

State: ____  Zip:__________________

Phone: _________________________

Fax: ___________________________

Email: __________________________


Quantity Style # Description Price
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silver & gold pewter and base glass and crystal gemstones accessories