Please print this order form before using.
| SOLD TO: | SHIP TO: |
| Name: _________________________________ | Name: _________________________________ |
| Address: _______________________________ | Address: _______________________________ |
| City, State, Zip: _________________________ | City, State, Zip: _________________________ |
| Telephone: ____________________ | Telephone: ____________________ |
| Email Address: _________________________ | Email Address: _________________________ |
PRODUCT ORDER FORM
|
Description |
Quantity | Price Each | Total |
|---|---|---|---|
| The See Shell Baby Carrier (w/ Reversible Seat Pad) |
______ |
OUT of stock | ________ |
| The See Shell Neck Collar |
______ |
$12.99 | ________ |
| The See Shell Visor |
______ |
$22.99 | ________ |
| Extra See Shell Seat Pad |
______ |
$20.99 | ________ |
| The See Shell Snuggle Quilts
- Circle your Choice. Clifford, Ballerina, Ballerina Slippers, Bob the Builder, Pooh |
______ |
$59.95 | ________ |
| Ocean Creatures Snuggle Quilt |
______ |
$59.95 | ________ |
|
Sub-Total: |
________ |
||
|
PA residents only - Add 6% sales tax: |
________ |
||
| S/H @ $20.00 ea Carrier |
________ |
||
| S/H @ $8.80 for Neck Collar, Clam Pack or Quilt |
________ |
||
| Pay this amount: |
________ |
||
|
Choose Card Type: [ ]
Visa [ ] MasterCard [
] American Express [ ] Discover |
|||
Please Make Cashiers Checks and/or Money Orders payable to:
See Shell Baby Products LLC
P.O. Box 7345
York, PA 17404
You may also fax credit card
information to:
610-779-6190