Order Form

Asia Beads Corp.

No. 1 Birchwood Lane, Hartsdale NY 10530

Tel: 1-914-217-0049  Fax: 1-914-202-7469

www.vitabeads.com

Payment Method:   Visa     MasterCard      Discover

Shipping:

Card Holder's Name:

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.