Order Request Form

Please use this form to place an order at Jet Beads
(Read the “Guide to Ordering” to the left if this is your first time!)
Once I receive this form I will create a list of all the items you want priced out at the 100+ level plus shipping. I will send you this list for your review at which point you can pay for the order at Jet Beads securely and safely using a credit card or PayPal.    

Your Name (required)

Your Email (required)

Your Phone Number (required)

Do you live outside the United States?

What is your shipping zip/postal code (required):

If you have a ???-Company
Gift Certificate what is the value?

Do you plan on completing this
order or is this just a test run?

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

Individual Shipment?

(Please read the note on the left column regarding this option)

Want to send me a file?

(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.)

Subscribe to the monthly Newsletter:

(Receive a monthly non-spammy email reminding you about Jet Beads and informing you of upcoming
and other potential shipping delays holidays. You will also be entered to win a monthly $25 gift certificate.)


(PLEASE NOTE- this may take up to 30 seconds to finish sending)

Please EMAIL ME if you have trouble with this form.

Also, visit our NEW Facebook page: facebook.com/jetbeads! (yes, by forbidding me to even mention their name “???-Co” made me abandon the old one with 50k+ followers).

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