ORDER FORM  Please close Form Window when printing is done.

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 Please print this form and mail to Flame Kissed Beads with a check or credit card information.
If purchasing with a credit card you can FAX your order to 919-851-6412.

Please call to verify availability.  All beads & jewelry are hand made by the artist and are

available on a first come first serve basis.  Please note that some items can be recreated by

the artist upon request but since they are each individually made they will not be exact duplicates.

This type of availability is noted on the web page containing those items.

Name:

Address:

City:

 

State:

 

Zip:

 

Phone:

 

E-mail:

 

____ Yes!

Please call me to discuss my order. Call me: ___days  ___evenings

QTY

Item # or Name

Description (color, size, etc.)

Price

Total

 

        
         
         
         
         
         
         
         

Make check payable to Flame Kissed Beads

Mail to:
Flame Kissed Beads
106 New Waverly Place, Suite 106B
Cary, NC 27511

Shipping & Handling may change due to size of order

Subtotal:

 

Sales Tax:
(NC residents add sales tax)

  

Shipping & Handling:

$5.00

Total:

  

   Yes! I'd like to pay for my order by:
   ____ Visa  ____ Mastercard  ____American Express (Please check one)

Credit Card #

Exp.

Date

 Billing Address City, State, Zip Code
       
Card Member Signature:

Please allow 2-4 weeks for delivery.      Check here for time sensitive orders____

For more information
E-Mail:  info@flamekissedbeads.com

Ph#:  919-851-6412

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