Childhood Fantasies
Collector Bears & Hares
314 West King Street
Martinsburg, WV 25401
Fax 304-260-0558
www.childhoodfantasiesbears.com
ORDER FORM
Fax/Mail orders Please Print Out and Send
Please make checks payable to Childhood Fantasies.
Credit card orders will be processed within 24 hours of receipt for in stock
merchandise and shipment made accordingly. You will be notified on any item not
In stock and you advise if you wish to wait. No credit card charge will be made
until shipment is made.
Name (Please print)____________________________________ Date___________
Address:_____________________________________________________________
City: ____________________________________State ________Zip:_______-_____
Telephone: __________________________Fax/E-mail:_______________________
Ship to: Name:_______________________________________________________
Address:_____________________________________________________________
City:___________________________________ State ________Zip: _______-_____
Telephone: __________________________Fax/E-mail:_______________________
Payment Type: Check No.____________
Visa/MC No: ____________________________Exp. Date______
Name on Card:_________________________________________________________
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Quantity ______Item #______________Description ________________Price_____ |
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1.__________________________________________________________________ |
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2.__________________________________________________________________ |
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3.__________________________________________________________________ |
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Total Merchandise__________ |
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Shipping/Ins. Will be added by Childhood Fantasies __________ |
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WV residents please add your sales tax_________________________________ |
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Total of Order___________ |
Thank you for your order
Childhood Fantasies is pleased to have the opportunity to serve you your Teddy Bear and Hare needs