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7583 Maple Drive, Westland, MI 48185-1934
Telephone: (734) 306-4782
"Handmade Art Glass by Bethany Adams"

Name: Invoice:
Address: Date:
City: State: Phone: (      )
Zip/Postal: Email:
Item No. Qty. Description Color Size Price Ext. Price
             
             
             
             
             
             
             
             
             
             
             
             
             
 If you are a new customer, please check here.
Merchandise Total  

Visa/MC #: _________ _________ _________ _________

6% Sales Tax
(MICHIGAN Billing Address only)
 
Exp: ___________     CVV2 Code: ____________

(the last 3-4 digits in
the signature strip on
the back of the card)

Shipping & Handling
(MICHIGAN Billing include 6% Sales Tax)
 
   
Check Number: _________________ Small Order Fee ($5.00)
(Add to orders with Merch. Total under $15.00)
 

AP# ______________________
TOTAL AMOUNT DUE  
Standard Shipping is via USPS First Class Mail. Shipments to AK, HI, PR, APO & FPO and Foreign addresses shipped with US Priority Mail Service.
Please make Cashier's Check or Money Order payable to Bethany Adams in US Dollars.
STANDARD USPS S/H RATES:
First Class S/H orders up to $100.00 $3.00
First Class S/H orders $100.01 to $250.00 $4.50
First Class S/H orders $250.01+ $6.00
Priority Mail S/H orders up to $50.00 $5.50
Indicate faster shipping method here. Please call or email for total.

USPS PRIORITY MAIL SHIPPING METHOD: ________________________________
Priority Mail S/H orders $50.01 to $100.00 $6.50
Priority Mail S/H orders $100.01 to $250.00 $8.00
Priority Mail S/H orders $250.01+ $10.25
     
For orders over $300.01, or Overseas orders, please call 734-306-4782 or email us at info@gwaciebeads.com for an order total