Order Form


NY Vitabeads Corp.

No. 1 Birchwood Lane, Hartsdale NY 10530

Fax: 1-914-202-7469

www.vitabeads.com

Sold to: Shipping Address:
Name:
Tel:    
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Requests:
  Qty. Size Description Unit Price Total
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Payment Method:   Visa     MasterCard      Discover

Shipping:

Card Holder's Name:

Total:

Card #:   Expire Date:

   

Thank you order with VitaBeads.com

** ALL CLAIMS MUST BE MADE WITH 7 DAYS AFTER RECEIPT OF MERCHANDISE **

To avoid a 2% late payment charge, your payment must be received by the term date listed above.