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ORDER FORM
 
MAKE PAYMENT TO:                                                  SHIPPING INFORMATION:
 
Charlene Booth                                        Name:_________________________________
 9507 I Avenue 
 Hesperia, CA 92345                              Address:_______________________________
 760-948-6184 
 cbbeads@qnet.com                               City:_________________State:_____Zip______
 
                                                                    Phone:_________   Email:__________________
 
Item #
Qty.
Description
Price Each
Amount
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
  
Subtotal                    
Tax (CA Residents Only 8.25%)                     
Shipping                     
Total                     
  
 
Shipping Charges 
Up to 1 pound $4.95 $150.01 - $180.00 $14.95
Up to 2 pounds $5.95 $180.01 - $210.00 $16.95
Up to 3 pounds $6.95 $210.01 - $240.00 $18.95
Up to 4 pounds $7.95 $240.01 - $270.00 $19.95
Up to 5 pounds $9.95 $270.01 - $300.00 $21.95
$90.01 - $120.00 $10.95 $300.01 - $330.00 $22.95
$120.01 - $150.00 $12.95 $330.01 - $360.00 $23.95
 For amounts not listed, call (760) 948-6184 for shipping cost.