__________ /_________Credit card or Check No. Card Code Exp. Date
Kid Fancies Order Form
| Bill to: (street address only, no P.O. Boxes) | Ship to: (if different than bill to) |
| Name | Name |
| Address | Address |
| City, State | City, State |
| Zip | Zip |
| Phone # | Phone # |
Please fill out completely, see sample below.
| Item # | Description | Gift Wrap | Color/Style | Qty. | Price/Ea. | Total |
| # MC-5091 | Tea set, 11pcs. | yes | Pansy Blossoms | 1 | 45.00 | 45.00 |
| Merchandise Total | |
| Shipping & Handling | |
| Subtotal | |
| Sales Tax on subtotal (NY Residents ONLY add applicable tax for your county) | |
| Less Discounts or Gift Certificate | |
|
Your Order Total |
Method of Payment (please check one) THANK YOU FOR YOUR ORDER!
|
|
American Express |
|
MasterCard |
|
Visa |
|
Check or Money Order |
_______________________________ /
__________ /_________
Credit card or Check No.
Card Code Exp. Date
_________________________________
Authorized Signature
(required for all charge orders)