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Please Print and Mail This Order Form To
Picard Trade Bead Museum, 27885 Berwick Dr., Carmel, CA 93923

Or Print and Fax This Order Form To (831) 626-4172
Order Amount
_____ Vol. III Copies @ 7.50 each $________________
____ Vol. IV Copies @ 15.00 each $________________
_____ Vol. V Copies @ 15.00 each $________________
____ Vol. VI Copies @ 25.00 each $________________
____ Vol. VII Copies @ 35.00 each $________________
Total Amount of Order $________________
Airmail charges will be added for delivery outside the U.S.

Bill To:

Ship To:
Name __________________________ Name __________________________
Address ________________________ Address ________________________
City ___________________________ City ___________________________
State ___ Zip _______________ State ___ Zip _____________

Additional Information
Phone # __________________________ Email: ___________________________
Credit Card Information
___Visa ___Mastercard
Card # ___________________________
Expiration Date ___________________
3-digit security code ________________
Cardholder Name __________________
Signature _________________________
Please include your check or money order
if not ordering by credit card.