Order Page


Catalog and Color Card Order Form

Please fill out the following form to request a catalog, color card, and/or industry reference books:
*indicate required fields

You may also print out the form below and fax it to (631) 756-9845 or mail it to our corporate office:

Har-Man Importing Corp
95 BiCounty Blvd
Farmingdale, NY 11735
Attn: Order Processing

• PDF ORDER FORM

Country	Select Country USA Canada International
First Name*
Last Name*
Company*
Email*
Telephone*
Address*
City*
State*	Please Select Alabama Alaska American Samoa Arizona Arkansas Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Tax ID # (*required if in NY State):
Zip*
How did you hear about us?*	Please Select Magazine Ads Internet Search Google Adwords Website Link Customer Refferal Local Bead Society Trade Show Other Please Specify :
Industry	Fashion Designer (Ready to Wear) Fashion Designer (Couture) Jewelry Designer Manufacturer (Apparel) Manufacturer (Jewelry) Retail Store Internet Reseller Craft/Hobby Home/Interior Design Other (Please complete below)
I hereby authorize Har-Man Importing Corp. to charge my credit card for the following item(s): Please check one or both of the following*:
	Product Catalog: $10.00 (Refundable with your first order of $250.00 or more.) Color Card: $25.00 The Apparel Production Sourcebook (American Edition): $125.00 Independent Sales Reps Book: $185.00 All items above are FINAL SALE!
SHIPPING RATES: Catalog & Color Cards: For U.S. orders: an additional shipping charge of $2.00 will apply and will be shipped via U.S. Postal Service. For International orders: shipping rates will be calculated individually and will be shipped via U.S. Postal Service. Books only: For U.S. orders: an additional shipping charges of $8.00 will apply for each book. (Shipped via Fed-Ex Ground), For International orders: shipping rates will be calculated individually and will be shipped via U.S. Postal Service.
Card Number
Expiration Date	(mm/yy)
Name on Card
Billing Address of Card
Street
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