CC Type:
Exp Date:
Payment Notes:
January 2016 Order Form Page 1 of 2
NEW CUSTOMER
REORDER
PO #:
Sales Rep:
Show:
Order Date:
Ship Date:
Bill to Customer:
Ship To Address:
City:
Billing Address:
City:
Resale License # CA Accounts Only:
Zip:
State:
Zip:
File CC:
Store Contact/Buyer:
Store Phone #:
Buyer Phone #:
Buyer Email:
Billing Contact:
Billing Email:
Customer ID:
State:
Card #
CVV:
YES
NO
Terms:
Display Unit
Store Type (Must Choose One)
A-Café
E-School Store
H-Home Int/Gift
M-Hospital Gift Store
R-Religious Store
W-Online Store
B-Boutique
F-Florist
J-Jewelry Store
N-Non Profit Found.
S-Spa/Salon
X-Catalogue
C-Church Store
G-Gift Store
K-Bookstore
P-Pharmacy
U-Undetermined
Z-Other
No Cost Qty
ADD'L
PRICE
SUB
TOTAL
PRICE
SUB
TOTAL
Wood Display
Display Insert
Additional Display Items
Region (Must Choose One)
ADD'L
01 West Region- CA, WA, OR, MT, ID, WY, UT, CO, NM, AZ, NV, HI, AK
03 South Region- TX, OK, AR, LA, MS, TN, AL, GA, SC, NC, FL
02 Midwest Region-ND, MN, WI, IO, SD, NE, MN, KA
04 Northest Region- IL, KY, MI, IN, OH, WV, VA, PA, NY, MA, RI, CT, NJ, DE, MD, HN, VT, ME
Notes:
*One Display Box and one Display Insert at no cost with each min
$450 opening order
Miraculous Mary
Blessing Bracelets
Quantity
BBS Silver
BBG Gold
BBM Mix
Black-101
Brown-102
Tan-103
White-104
Slate-105
Red-106
Navy-107
Turq-109
Orange-110
Pink-111
Purple-112
Merlot-113
Green-117
Olive-121
Persimmon-123
Eggplant-124
Fuchsia-130
MT Gold-114
MT Silver-115
Qty
Price SubTotal
Price SubTotal
Miraculous Mary-Silver (MMBB)
$28.00
Black-101
$28.00
$28.00
Navy-107
$28.00
$28.00
Lte Blue-108
$28.00
$28.00
Miraculous Mary-Gold (MMBBG)
$28.00
Navy-107
$28.00
$28.00
Miraculous Mary-Mixed (MMBB-M)
$28.00
Black-101
$28.00
$28.00
Motherly Love Bracelet (BML-AS)
$28.00
Black-101
$46.00
$28.00
Eggplant-124
$46.00
$28.00
Divine Mercy (DMS)
$28.00
Black-101
$28.00
$28.00
Navy-107
$28.00
$28.00
Merlot-113
$28.00
$28.00
Garment of Grace Bracelet (BGG)
$28.00
S Black-101
$34.00
$28.00
S Tan-103
$34.00
$28.00
$28.00
TOTAL
TOTAL
Breathe Bracelets
Black-101
Red-106
Navy-107
Turq-109
Orange-110
Pink-111
Purple-112
Merlot-113
Blue-116
Green-117
Rainbow-118
Olive-121
Taupe-122
Yellow-125
Mint-129
Fuchsia-130
BRMT Gold-114
BRMT Silver-115
BRMT Copper-119
B-BRG Gold
Kids (KBB)
Qty
Price SubTotal
Faith Silver (FBB)
Black-101
$28.00
Tan-103
$28.00
Slate-105
$28.00
Turq-109
$28.00
Merlot-113
$28.00
Faith Mixed (FBBM)
Black-101
$28.00
Tan-103
$28.00
Wrapped in Faith (WBF-HM)
Black-101
$64.00
Blessings in Faith (BBFM)
Black-101
$28.00
White-104
$28.00
Slate-105
$28.00
Turq-109
$28.00
Qty
Price SubTotal
Black-101
$21.00
White-104
$21.00
Red-106
$21.00
Navy-107
$21.00
Pink-111
$21.00
Purple-112
$21.00
Rainbow-118
$21.00
Blessings for Him (MBBS)
Black-101
$28.00
Faith for Him (MFBB)
Black-101
$28.00
Men's ONE Blessing (MOBB)
Black-101
$28.00
Brown-102
$28.00
Tan-103
$28.00
Slate-105
$28.00
Prayer Partner (B-PR)
Price
SubTotal
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
$11.00
Qty
Price SubTotal
Serenity Silver Medal
S Black-101
$16.00
S White-104
$16.00
S Slate-105
$16.00
S Red-106
$16.00
S Navy-107
$16.00
S Orange-110
$16.00
S Merlot-113
$16.00
S Eggplant-124
$16.00
MTS Gold-114
$16.00
MT Silver-115
$16.00
Serenity Gold Medal
G Black-101
$16.00
G Navy-107
$16.00
G Merlot-113
$16.00
G Eggplant-124
$16.00
MT Gold-114
$16.00
Breathe Chain Bracelet (B-BRC)
G-Gold
S-Silver
$38.00
$38.00
$19.00
$19.00
Black-101
Red-106
TOTAL
Specialty Bracelets
Serenity (B-SER)
Quantity
B-BR Silver
Qty
Price SubTotal
Soar Bracelet (BSW-S) Silver
Black-101
$32.00
Tan-103
$32.00
Eggplant-124
$32.00
Soar Bracelet (BSW-G) Gold
Black-101
$32.00
Tan-103
$32.00
Eggplant-124
$32.00
Blessing for America (BB-A)
Red-106
$30.00
Navy-107
$30.00
Blessing for a Cure (BB-C)
Pink-111
$30.00
Blessing for Love (BB-L)
White-104
$30.00
Red-106
$30.00
Pink-111
$30.00
Orange Campaign (BBS-OC)
Orange -110
$28.00
One Life LA
B-PR-1LA
TOTAL
TOTAL
TOTAL
Brilliance Collection
Qty
Price SubTotal
Brilliance Blessing Bracelet (B-BRI)
AG-101 Atq Gold
$40.00
S-101 Silver
$40.00
Brilliance Trinity Bracelet (B-BRT)
AG-101 Atq Gold
$75.00
S-101 Silver
$75.00
Stairway to Heaven Bracelet
B-SWH
$85.00
Divine Blessing Bracelet (BPB)
S-101 Black/Silver
G-101 Black/Gold
Necklaces, Earrings, Rings, Rosaries, Sacraments
$48.00
Divine Blessing Bracelet-Rose Gold (BPBR)
G-131 Cream/Gold
$48.00
Blessed Links Toggle Bracelet (BLTB)
G-Gold
S-Silver
M-Mixed
$11.00
TOTAL
WWW.MYSAINTMYHERO.COM | WWW.ACCENTSFORMODERNLIVING.COM
$48.00
$48.00
Divine Blessing Bracelet-Platinum (BPBP)
S-103 Tan/Silver
PAGE ONE TOTAL:
My Saint My Hero | Accents for Modern Living
TOTAL:
Faith
$56.00
$56.00
$56.00
TOTAL
Necklaces, Earrings, Rings, Rosaries, Sacraments
CC Type:
Exp Date:
Payment Notes:
January 2016 Order Form Page 2 of 2
NEW CUSTOMER
REORDER
PO #:
Sales Rep:
Show:
Order Date:
Ship Date:
Bill to Customer:
Ship To Address:
City:
Billing Address:
City:
Resale License # CA Accounts Only:
Zip:
State:
Zip:
File CC:
Store Contact/Buyer:
Store Phone #:
Buyer Phone #:
Buyer Email:
Billing Contact:
Billing Email:
Customer ID:
State:
Card #
CVV:
YES
NO
Terms:
Display Unit
Store Type (Must Choose One)
A-Café
E-School Store
H-Home Int/Gift
M-Hospital Gift Store
R-Religious Store
W-Online Store
B-Boutique
F-Florist
J-Jewelry Store
N-Non Profit Found.
S-Spa/Salon
X-Catalogue
C-Church Store
G-Gift Store
K-Bookstore
P-Pharmacy
U-Undetermined
Z-Other
No Cost Qty
ADD'L
PRICE
SUB
TOTAL
PRICE
SUB
TOTAL
Wood Display
Display Insert
Additional Display Items
Region (Must Choose One)
ADD'L
01 West Region- CA, WA, OR, MT, ID, WY, UT, CO, NM, AZ, NV, HI, AK
03 South Region- TX, OK, AR, LA, MS, TN, AL, GA, SC, NC, FL
02 Midwest Region-ND, MN, WI, IO, SD, NE, MN, KA
04 Northest Region- IL, KY, MI, IN, OH, WV, VA, PA, NY, MA, RI, CT, NJ, DE, MD, HN, VT, ME
Notes:
*One Display Box and one Display Insert at no cost with each min
$450 opening order
Beadball Necklaces
Necklace Collection
Qty
Price SubTotal
Benedictine Beadball
Quantity
NBBB Bronze
Anne-1
Anthony-2
Bernadette-3
Cecilia-4
Francis-6
Joan of Arc-7
Jude-9
Michael-11
Peregrine-12
Raphael-13
Therese-14
Thomas-15
Mary-16
Christopher-21
Fleur de Lis-24
NBBS Silver
Price
SubTotal
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
$32.00
TOTAL
Communion Collection
Qty
Price
In Communion Sets
NBBS-20
$28.00
Benedictine Petite Necklace
NPG-20
NPS-20
NPG-85
NPS-85
Clear Crystal-CC
Blue Crystal-BL
Rose Quartz-RQ
$40.00
$40.00
SubTotal
Black-101
$21.00
White-104
$21.00
Navy-107
$21.00
Confirmation Blessing Bracelet (BB-CF)
Prayer Booklet
NLB-S-20
$95.00
$95.00
Scapular Necklace
NBY-S-Silver
$39.00
Garment of Grace Necklace
NSS-Silver
$110.00
Queen of the Universe
NGG-AS-Silver
NQU-G-Gold
$164.00
NQU-S-Silver
$164.00
R1021S
R1013
$42.00
Seven Sorrows Rosary
$30.00
$64.00
Pope Francis Collection
Silver Cable Chain Necklace
NCCS-23
$35.00
Silver Serenity (B-SER-S-23)
NLB-19
Black-101
$69.00
$28.00
Joy Earring
EJG-Gold
EJS-Silver
$28.00
$28.00
Scapular Earrings
ESS-Silver
$20.00
TOTAL
Qty
Price SubTotal
Saint Pope John Paul II
NBBS-22
N-PEARL-22
$29.00
$29.00
Faith Stud
Forever One
NBBB-19
$32.00
NBBS-19
$32.00
Labradorite Bronze Necklace
SPN-11
EBGRM
TOTAL
Pope Collections
$160.00
Our Lady of Guadalupe
$70.00
Strength and Protection
EBS-G-Gold
EBS-S-Silver
EFS-G-Gold
$29.00
EFS-S-Silver
$29.00
Benedictine Gold Rim
NBY-G-Gold
Qty
Price SubTotal
Fr Daniel's Rosary
$20.00
Prayer Pledge Booklets
Med Rosary Booklet
$80.00
$80.00
Brilliance by the Yard
NLB-G-20
TOTAL
Rosarys & Specialty Necklaces
$42.00
$42.00
1st Communion Blessing for Kids (KBB-1C)
Michael-11
$40.00
$40.00
Trinity Petite Necklace-Gold Chain (NPT-G)
Black Crystal-BK
Set-1CB (Boys)
$28.00
$28.00
$28.00
Key Chains (KCS)
$40.00
$40.00
Trinity Petite Necklace-Silver Chain (NPT-S)
Set-1C
S Black-101
S Tan-103
G Red-106
$40.00
$40.00
Faith Petite Necklace
TOTAL:
Earring Collection
Qty
Price SubTotal
Benedictine Stud
Specialty Necklaces
Qty
Price SubTotal
Blessings by the Yard
Qty
Price SubTotal
Mr and Mrs (B-FO-SET)
Black-101
$29.00
Wedding Guest (B-FOG)
S Black-101
MT Gold-114
MT Silver-115
$16.00
$16.00
$16.00
$20.00
Metallic Silver Serenity (B-SER-MT-23)
Silver-115
$20.00
Silver Breathe (B-BR-23)
Black-101
$16.00
$16.00
Men's ONE Blessing (MOBB-23)
Denim Blue-126
$7.00
$7.00
Black-101
$28.00
Love and Mercy Bracelet Set (B-LM)
Black/Black-0101
Silver/Navy-1507
TOTAL
TOTAL
$40.00
$40.00
TOTAL
TOTAL
PAGE TWO TOTAL:
GRAND TOTAL:
*Shipping and Handling is determined at time of invoice