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:_________________________________________________________

Quantity ______Item #______________Description ________________Price_____

1.__________________________________________________________________

2.__________________________________________________________________

3.__________________________________________________________________

                                                                  Total Merchandise__________

Shipping/Ins. Will be added by Childhood Fantasies __________

WV residents please add your  sales tax_________________________________

                                                                           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