Name: 

Mailing Address: 
City: 
             State:      Zipcode: 

In event of questions about your order:

Email Address: 
Phone Number: 

Please send me the following:

Item:      ID:      Quantity:      Unit Price:      Total: 
Item:      ID:      Quantity:      Unit Price:      Total: 
Item:      ID:      Quantity:      Unit Price:      Total: 

Subtotal:   
Shipping:   
Total:   

•    $5.00 for up to 3 items
•    $9.00 for 3 - 10 items
•    Free for 11 items and over

We will accept your order via email and begin processing it right away, however it will not be shipped to you until we have received your payment and it has cleared.  Please send your payment (check or money order only) to:

Amethyst Ravenstar Jewelry & Beadwork
P.O. Box 340615
Beavercreek,  Ohio  45434