PIGS4EVER.COM INTERNET MAIL ORDER FORM

DATE OF ORDER:________________________

SHIP TO (Please print clearly):

NAME:_____________________________________________________________________

ADDRESS:__________________________________________________________________

CITY:____________________________________STATE/PROVINCE::___________________

ZIP/POSTAL CODE:______________COUNTRY:_____________________________________

SPECIAL SHIPPING INSTRUCTIONS (if any):
___________________________________________________________________________
___________________________________________________________________________

ITEMS YOU WISH TO ORDER

Write or type in the products you would like to order. Remember to include size, color, etc. if necessary.

ITEM 1:_____________________________________________________________________

QUANTITY:_________ PRICE EACH:____________ SUBTOTAL: ___________


ITEM 2:_____________________________________________________________________

QUANTITY:_________ PRICE EACH:____________ SUBTOTAL: ___________


ITEM 3:_____________________________________________________________________

QUANTITY:_________ PRICE EACH:____________ SUBTOTAL: ___________


ITEM 4:_____________________________________________________________________

QUANTITY:_________ PRICE EACH:____________ SUBTOTAL: ___________

SHIPPING AND HANDLING: $___________________________
You can check shipping costs by first using the web site Shopping Cart. Once you have the
information, just empty the cart.

TOTAL: $_________________________________________

PAYMENT METHOD (please check proper line):
___CASHIER'S CHECK / MONEY ORDER (US$ Funds Only)
___VISA ___MASTERCARD ___DISCOVER CARD

CC#:__________________________________________Expiration Date:______________

Signature:_________________________________________________________________

Billing Address (if different from Shipping Address)
________________________________________________________________________

DAYTIME PHONE (needed in case of order problem):

Country Code:___________Area/City Code:_________ Phone:______________________

PLEASE: DOUBLE CHECK ALL INFORMATION AND SPELLING!

Mail To: Pigs4Ever.com, PO Box 1, Yalaha, FL 34797