| Return
to FAQ here |
HONOLULU
BABIES MAIL ORDER FORM To
Print Form: Right click mouse anywhere on form and select print from menu options |
| Item
Name | Item
Number | Quantity | Price |
| . | . | . | . |
| . | . | . | . |
| . | . | . | . |
| . | . | . | . |
| . | . | . | . |
| . | . | . | . |
Shipping
& handling based on the Item Total Cost: Up to $25.00 = Add $6.95
$25.01 - $45.00 = Add $9.95 $45.01 - $75.00 = Add $11.95 $75.00 - Over
= Add $14.95 | Item
Total Cost: | . |
| Shipping/Handling: | . |
| Total
Order Cost: | . |
|
| BILLING
INFORMATION |
| First
Name: ________________________________ Last Name: ____________________________________
|
| Street
Address: ____________________________________________________________________________
|
| City:
_____________________________________________ State: _________________________________
|
|
Zip Code: _________________________ Phone Number: ________________________________
|
| Email
Address: _____________________________________________________________________ |
| SHIPPING
INFORMATION |
| Is
The Shipping Address The Same As The Billing Address? .........Yes
....... No |
| If
No, Please Fill In The Following Information: |
| First Name:
________________________________ Last Name: _____________________________________
|
| Street
Address: ____________________________________________________________________________
|
| City:
_____________________________________________ State: _________________________________
|
| Zip
Code: _________________________ |
|
Would you like to include a gift card? If yes, please fill in your greeting: |
| __________________________________________________________________________________________
|
|
How did you find my website?__________________________________________________________________ |
| This
completed form approved by: __________________________________________________________ |
| Your
signature: ____________________________________________ Today's Date: _______________ |
| Please
mail this form and a check or money order to: |
| Honolulu
Babies P.O. Box 44394 Kamuela,
HI 96743 |