Please print this page, fill it out and fax to 440-974-9917 or mail
to:
PO Box 137 Newbury, Ohio 44065.
Bill To: | Ship To (if different): |
| Name: | Name: |
| Address: | Address: |
| City: | City: |
| State: | State: |
| Zip: | Zip: |
| E-mail: | E-mail: |
| Phone: | Phone: |
| How did you hear about us? ______________________________________________________________________ | |
Products
|
Qty. |
Item |
Price (US Dollars) |
Ext. Price
|
| ______ | Perpetual Calendar Starter Set | 99 | $__________ |
| ______ | Perpetual Calendar Deluxe Set | 149 |
$__________ |
| ______ | Perpetual Calendar Accessory Block Set A White, brown blue and pink Birthday Cake | 10 | $__________ |
| ______ | Perpetual Calendar Accessory Block Set B Winter, Summer, Spring, Fall \ | 10 |
$__________ |
| ______ | Perpetual Calendar Accessory Block Set C Spring Forward, Fall Back, Winter Vacation, Summer Vacation | 10 | $__________ |
| ______ | Perpetual Calendar Accessory Block Set D (2) Dinner Plates, Tennis Racquet, Golf, Cards, Balloons | 10 | $__________ |
| ______ | Perpetual Calendar Accessory Block Set E Tickets, Schoolhouse, April Fool, Groundhog | 10 | $__________ |
| ______ | Perpetual Calendar Accessory Block Set FDoctor, Fireworks, Vote, Picnic | 10 | $__________ |
| ______ | Perpetual Calendar Accessory Block Set G Baseball, Basketball, Soccer, Football | 10 | $__________ |
| ______ | Perpetual Calendar Accessory Block Set H Mother's Day, Father's Day, Wedding/anniv., Music Notes | 10 | $__________ |
| ______ | Interlocking Puzzle: Love #1 | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Love #2 | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Duck | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Whale | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Noel | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Dog | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Pig | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Cat | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Horse | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Frog | 12.99 | $__________ |
| ______ | Interlocking Puzzle: Cow | 12.99 | $__________ |
| ______ | Custom Inspirational Plaque | 159 | $__________ |
| Text of Plaque (up to 65 characters): | |||
| ______ | Lighthouse Clock | 59 | $__________ |
| ______ | Noah's Ark Puzzle Set | 59 | $__________ |
Subtotal | $__________ | ||
|
Tax (State of Ohio = 7%)
| $__________ | ||
|
Call or fax NOW for Christmas delivery!
Shipping & Handing
|
$____15____ | ||
Total | $__________ | ||
Payment Method: | |
| Credit Card: Visa ___ M/C ___ Discover ___ | ______ A check is enclosed (mail-in orders) |
Card #: __________________________________ |
|
Name on Card: _________________________________________ |
|
| Exp. Date: ___________ | |
Signature:___________________________
Thank you for your order!
Calendars |
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Copyright ©2003
Wedgewood Products |
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