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Kittens Toy Room Order
Form
Contact Information:
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Name:
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________________________ |
| Address: |
________________________ |
| Address 2: |
________________________ |
| City/State/Zip: |
________________________ |
| Country: |
________________________ |
| Phone: |
________________________ |
| Email: |
________________________ |
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Ship to:
| Name: |
________________________ |
| Address: |
________________________ |
| Address 2: |
________________________ |
| City/State/Zip: |
________________________ |
| Country: |
________________________ |
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Gift Wrapping and Gift
Card Available On Request!
Please Be Certian Quantity
and Item # are Correct!
Quantity |
Item
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Description |
Size
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Unit
Price |
Total |
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Subtotal:
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Shipping:
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Grand Total:
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Credit Card Payments: American Express, Discover Card, Visa /
Mastercard :
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Name:
|
_______________________________ |
| Credit Card #: |
_______________________________ |
| Expiration Date(Month / Year): |
____ / ____ |
| Signature : |
_______________________________ |
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Simply print out this page and
mail it along with your payment to:
Kittens Toy Room
6963 E. State St.
Hermitage, PA
USA 16148
Make Checks and Money Orders payable to Kittens Toy Room
Please Note: Personal & Company Checks will take 10 Business Days to clear.
Shipping Scale
| Up to $10.00 |
$2.95 |
| $10.00 to $20.00 |
$4.95 |
| $20.00 to $30.00 |
$5.95 |
| $30.00 to $40.00 |
$6.95 |
| $40.01 to $50.00 |
$7.50 |
| $51.00 to $60.00 |
$7.95 |
| $60.01 to $70.00 |
$8.50 |
| $70.01 to $80.00 |
$8.95 |
| $80.01 to $100.00 |
$9.45 |
| $100.01 to $150.00 |
$9.95 |
| $150.00 to $200.00 |
$12.95 |
| Over $200.00 |
$14.95 |
Express (over night) Postage is an additional $20.00 over the above shipping scale |
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Adult Video & Movies
Buyers Info
