Order Request Form

Use this form to submit an order request to Jet Beads to product at the “Big Bead Co” for you.

Once I receive this form I will create a payment link that will list of all the items you want priced out at the 100+ level plus shipping. I will send this link to you for your review at which point you can pay for the order at Jet Beads securely and safely using a credit card or PayPal. Or, you can decide to change your order or to NOT to order at all! Submitting this form in no way obligates to you finish the order.

(Read the “Guide to Ordering” if this is your first time here!)

Your Name *

Your Email *

Your Phone Number *

Do you live in the USA? *Yes, I live in the United StatesAustraliaCanadaUnited KingdomAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCabo VerdeCambodiaCameroonCanadaCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

What is your shipping zip/postal code? *

If you have a "Big Bead Company" Gift Certificate what is the value?

(I will deduct this amount from the total)

Do you plan on completing this order or is this just a test run? *I will complete the orderThis is a Trial Run

(the Trial Run is in case you are a brand new customer just testing the waters)

Sign up for the Newsletter?YesNo

Non-spammy and sent out once a month to remind you of my services.

Want to send me a list of items?

Click or drag a file to this area to upload.

(This would be items you want if you don’t want to copy/paste or type them out below in the Comments Box – This can be a csv, txt, xls, xlsx, pdf, doc, docx, jpg, or png file.)

Copy/Paste ITEM ID and QTY List/Comments to Jason

(You can just copy and paste your ITEM list here if you want. It will look all jumbled up but I can sort it all out. No need to paste if you are sending it as an attached file.)

Do you have a website/store or Facebook page? What is the website?

(If you do please give me the URL here – a regular website, Facebook page, ETSY store … I feature a customer a few times a week on FaceBook and will feature you if you have a website.)

Name

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