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Fax
Credit Card Orders: |
Mail
Orders: |
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| Questions? Call 1-800-646-1682 | ||||
| PURCHASED BY: | ||||
| Name | ||||
| Address | ||||
| City | ||||
| State/Zip/Country | ||||
| Phone |
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| Where did you hear about us? | ||||
| Ship to: | ||||
| Name | ||||
| Address | ||||
| City | ||||
| State/Zip/Country | ||||
| Phone | ||||
| For FAX Credit Card Orders, complete form and FAX to 831-761- 9440 (USA): | ||||
| Circle one: Mastercard - - Visa - - Discover - - American Express | ||||
| Card number:_____________________________Expiration date:________ | ||||
| Print name as it appears on card: | ||||
| Signature: | ||||
| PRODUCT INFORMATION: | ||||
| Quantity | Size | Color | 2nd Color Choice | Total |
California residents add 8.25% sales tax |
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For shipping in USA: add $7.25 for one and $2.00 for each
additional baby product. For international shipping: call or email with size and color for exact amount. |
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Order Total |
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