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