Eagle Gifts Galore:WB Animal Gifts: WB Patrol Animal Bead Order Form

Fill in and print this form, sign it, and Fax or mail it to the address above.

Please do NOT send Credit Card information via eMail.
All prices subject to change.

ANIMAL	QUANTITY	ANIMAL	QUANTITY


Beads . . . . . . . $ 2.25 each.
Shipping & Handling:		1 - 3 Beads 4 - 10 Beads 11 + Beads	$ 2.50 $ 3.75 $ 6.00
California Residents add 8.75% Sales Tax. Orders of 1-10 Beads will ship First Class.
Orders of 11 or more Beads will ship Priority Mail.

ORDER SUMMARY

Total # of Beads	@	$ 2.25	=	$
Calif. Sales Tax *	@	8.75%	=	$
Shiping & Handling	@	$	=	$
Total Order			=	$
* California Residents only

Billing Address
Name	Home Phone - -
Address 1	City
Address 2	State	Zip
E-Mail	Cell/Wk Phone - -

Shipping Address (if different)
Name	Phone - -
Address 1	City
Address 2	State	Zip

WILD BEAST ANIMAL GIFTS
A Division of EAGLE GIFTS GALORE
2707 S. DESERT FOREST AVE., ONTARIO, CA 91761 Voice: (909) 947-6634
Fax: (909) 947-6666 e-Mail: egg@EagleGiftsGalore.net http://www.EagleGiftsGalore.net
CERAMIC WB PATROL ANIMAL BEADS ORDER FORM PAGE 2

PAYMENT INFORMATION:

Check Enclosed

Please charge my Credit Card

CREDIT CARD INFORMATION:

Name on Credit Card:

First Name

Middle Name

Last Name

Please make sure that the Billing Address (above) is where the credit card statement is sent.

Credit Card Type: Visa Mastercard

CREDIT CARD NUMBER:

EXPIRATION DATE:

SECURITY CODE:
(on back of card)

Signature: ______________________________________________________________________________________