Printable Order Form for Bear Family Gifts

Printable Order Form for Bear Family Gifts, LLC

If you wish to mail your check or money order, you can mail it along with this form to ensure accuracy of your order. You may also use this form to pay by credit card and mail it to me, rather than using your card online.

ORDER FORM

Credit Card

Check

Money Order

Cashier's Check

Customer Information:

Shipping Information if different than Customer Info

Name:

Address 1:

Address 2:

City, State, and Zip Code:

E-mail Address: (your order will be confirmed by e-mail)					E-mail Address:
Telephone:					Telephone:
Enter Gift Certificate Information Here:
Code:					Expiration Date:
If paying by Credit Card, please fill out the information below:
Card: Visa Mastercard
Card Number:					Expiration Date:
Name as it appears on card:
Billing Address:
City, State, and Zip Code:
*********** Page 2**
ORDERING INFORMATION:
	Item Name		Quantity		Cost	Personalization
1
2
3
4
5
6
Product Total
*Shipping/Handling
**Kansas Sales Tax (7.525%)
Order Sub-Total
Less Gift Certificate
Order Total

*Shipping and Handling Fees: Configured for lower 48 states only, by Priority Mail.				**Only residents of Kansas need to pay sales tax.
$0 to $10.00		$5.00
$10.01 to $30.00		$7.00
$30.01 to $60.00		$10.00
$60.01 to $100.00		$12.00
$100.01 to $200.00		$17.50
Special Instructions or Comments:

Make check or money order payable to: Debra Garrett, and mail to: 1012 E Cothrell, Olathe KS 66061

The charge on your credit card statement will show as debbie@bearfamilygifts.com

Your signature for credit card charges only: