Heritage Beads Printable Order Form
Mail Order to: Heritage Beads,  20839 Brinkley St.,   Cornelius, NC 28031
Or Call: Toll Free (866)-393-2052 to order  (9am to 8pm EST)
Billing Address
(Purchaser)
Name:  
Address:  
City:  
State:  
ZIP:  
Phone:  
E-mail:  
Shipping Address
(If different than billing address.)
Name:  
Address:  
City:  
State:  
ZIP:  
Phone:  
E-mail:  

Style name or number: _________________    Price (or base price):    ___________

Crystal color: _________________   

Notes:  Shipping and handling (S&H) is free - USPS mail.  Applicable sales tax will be collected from North Carolina residents. 


Payment Methods
    Visa ____ Master Card ____ Discover ____ American Express ____
  Name on Card: _____________________________
  Card Number: _____________________________________
  Expiration date: _____ / _____   CVV# (on back of card): _____  What's this?

  Signature _________________________________________

To order by phone, call 1-866-393-2052 9:00 am to 8:00 pm EST M-F
Please make checks or money orders payable to: Heritage Beads