Please fill this form out in a Word Processing Program, then print and mail it to:

-STANDARD ORDER-

ITEM #	ITEM	PRICE	SIZE	QTY	TOTAL
1000	(RN) Hex Rondelle W/ Cones	$25.00	____		$_____.___
1001	(RN) Drops W/ Rondelle	$25.00	____		$_____.___
1002	(RN) Rice W/ Rounds	$25.00	____		$_____.___
1003	(RN) Drums W/ Rounds	$25.00	____		$_____.___
1004	(RN) Drops W/ Rice	$25.00	____		$_____.___
1005	(RN) Rice W/ Twists	$25.00	____		$_____.___
1006	(TS-N) W/ 6mm Rounds and Rondelle	$30.00	____		$_____.___
1007	(TS-N) W/ Rondelle	$30.00	____		$_____.___
1008	(TS-N) W/ 4mm Rounds and Rondelle	$30.00	____		$_____.___
1009	(TS-N) W/ Hex Rondelle	$30.00	____		$_____.___
1010	(TS-N) W/ Rounds	$30.00	____		$_____.___
1011	(TS-N) W/ Barrells	$30.00	____		$_____.___
2000	(2S-B) W/ Twists	$25.00	____		$_____.___
2001	(2S-B) W/ Pillow Spacers	$25.00	____		$_____.___
2002	(2S-B) W/ Drops	$25.00	____		$_____.___
2003	(2S-B) W/ Drums	$25.00	____		$_____.___
2004	(2S-B) W/ 6mm Rounds	$25.00	____		$_____.___
2005	(2S-B) W/ Rice	$25.00	____		$_____.___
2006	(2S-B) W/ 8mm Rounds	$25.00	____		$_____.___
2007	(2S-B) W/ Two 8mm Rounds	$25.00	____		$_____.___
2008	(1S-B) W/ 4mm Rounds	$15.00	____		$_____.___
2009	(1S-B) W/ Twists	$15.00	____		$_____.___
2010	(4S-B) W/ Rounds	$45.00	____		$_____.___
2011	(6S-B) W/ Twists	$75.00	____		$_____.___
2012	(TS-B) W/ Drums	$30.00	____		$_____.___
2013	(TS-B) W/ Rounds	$30.00	____		$_____.___
2014	(TS-B) W/ Rondelle	$30.00	____		$_____.___
2015	(TS-B) W/ Barrells	$30.00	____		$_____.___
2016	(TS-B) W/ Rice	$20.00	____		$_____.___
2017	(TS-B) W/ 6mm Rounds	$20.00	____		$_____.___
2018	(TS-B) W/ 4mm Rounds	$20.00	____		$_____.___
2019	(TS-B) W/ Hex Rondelle	$20.00	____		$_____.___
2020	(4S-TS-B) W/Pillow Spacers	$50.00	____		$_____.___
3000	(2S-A) W/ Twists	$25.00	____		$_____.___
3001	(2S-A) W/ Pillow Spacers	$25.00	____		$_____.___
3002	(2S-A) W/ Drops	$25.00	____		$_____.___
3003	(2S-A) W/ Drums	$25.00	____		$_____.___
3004	(2S-A) W/ 6mm Rounds	$25.00	____		$_____.___
3005	(2S-A) W/ Rice	$25.00	____		$_____.___
3006	(1S-A) W/ 4mm Rounds	$15.00	____		$_____.___
3007	(1S-A) W/ Twists	$25.00	____		$_____.___
3008	(TS-A) W/ Drums	$30.00	____		$_____.___
3009	(TS-A) W/ Rounds	$30.00	____		$_____.___
3010	(TS-A) W/ Rondelle	$30.00	____		$_____.___
3011	(TS-A) W/ Barrells	$30.00	____		$_____.___
3012	(TS-A) W/ Rice	$20.00	____		$_____.___
3013	(TS-A) W/ 6mm Rounds	$20.00	____		$_____.___
3014	(TS-A) W/ 4mm Rounds	$20.00	____		$_____.___
3015	(TS-A) W/ Hex Rondelle	$20.00	____		$_____.___
				SUBTOTAL:	_________

-ADD JEMS/COLOR-

ITEM#	ITEM	PRICE PER BEAD	POSITION/COMMENTS	TOTAL PRICE
4000	Smokey Quartz	$00.60	___________________	$____________
4001	Tiger Eye	$00.30	___________________	$____________
4002	Rose Quartz	$00.40	___________________	$____________
4003	Turquoise - skinny flats	$00.70	___________________	$____________
4004	Turquoise - oval flats	$00.70	___________________	$____________
4005	Turquoise - 6mm rounds	$00.70	___________________	$____________
4006	Cultured Fresh Water Pearls	$00.60	___________________	$____________
4007	Rhodonite	$00.50	___________________	$____________
4008	Leopard Skin Jasper	$00.30	___________________	$____________
4009	Malachite	$1.00	___________________	$____________

	METAL/OTHER BEADS
4100	Silver	$00.25	___________________	$____________
4101	Gold	$00.25	___________________	$____________
4102	Silver Circle	$00.25	___________________	$____________
4103	Silver Cone	$00.25	___________________	$____________
4104	Silver Barrels	$00.25	___________________	$____________
4105	Silver Colored Tubes	$00.25	___________________	$____________

	TWO STRAND BEADS
4200	Snowflake Obsidian	$00.75	___________________	$____________
4201	Aventurine	$00.75	___________________	$____________
4202	Onyx	$00.75	___________________	$____________
4203	Sodalite	$00.75	___________________	$____________
			SUBTOTAL:	$____________

Shipping and Handling Fees:
$4.00 for all orders below $50.00
$8.00 for all orders between $50.00-$100.00
Free Shipping for all orders above $100.00

STANDARD ORDER SUBTOTAL:				$____________
EXTRA JEMS/COLORS:				$____________
SHIPPING AND HANDLING FEE (INCLUDES TAXES):				$____________
TOTAL:				$____________

PAYMENT METHOD: (Please make checks payable to Atkinson Trading.)
[ ]Check (Allow 14 days to process -returned checks incur $20 service charge.)
[ ]Money Order

First Name: ____________________ Last Name:_____________________

Mailing Information:

Address:______________________________________________________________

_____________________________________________________________________
City:_____________State:____ Zip Code ___________

Billing Information-
(If different from mailing information)
Address:________________________________________________________________

_______________________________________________________________________
City:_____________State:____ Zip Code ___________

Phone Number 1:(___)_____-______
Phone Number 2:(___)_____-______

Comments (Any additional information about your order):

______________________________________________________________________

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Site Last Update by AAA 6/10/08 2:05 PM