Woodstock Bead Emporium

Order Form

Please print this form and mail to:

Woodstock Bead Emporium

54B Tinker Street, Woodstock, New York • 12498

Order 845-679-0066

YOUR PHONE # _________________________________________

SHIP TO:_________________________________ BILL TO:______________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ PAYMENT BY Check* Y or N Amt. enclosed: $________*Record Ph.# & Drivers License # on check. Credit card: Amex, Master Card or Visa Will you accept substitutions? Card number:_____ _____ _____ _____ Will you accept backorders? Expiration date:_____________ Tax exempt Y or N Exemption no.______________ Date ordered:_______________ Payment Policy: Payment due at time of order. ITEM # DESCRIPTION UNIT QTY. UNIT COST TOTAL 1.________________________________________________________________________________ 2.________________________________________________________________________________ 3.________________________________________________________________________________ 4.________________________________________________________________________________ 5.________________________________________________________________________________ 6.________________________________________________________________________________ 7.________________________________________________________________________________ 8.________________________________________________________________________________ 9.________________________________________________________________________________ 10.________________________________________________________________________________ SUBTOTAL :__________ S & H charges :__________ Ordered by_______________ Other Charges :__________ Approved by______________ NYS Residents add 8.25% Tax :__________ TOTAL DUE :__________

Happy Beading from the Woodstock Bead Emporium.
A bead for your every need!

If you have any comments or suggestions, email us at beads@hvc.rr.com

Hand Made Glass Beads

Home | Catalog | Beads | Order Info | Order Form

Prices listed in this web site are subject to change without notice.