American Folk Toys Order Form

Print this page and fill in the appropriate information. Please print legibly. Credit card orders can call 1-812-339-4500 or bee faxed to 1-812-332-0998. Otherwise, mail order with bank check or money order payable in U.S. funds to: Beeline Publications, 916 South Ballantine Road, Bloomington, Indiana 47401-5054 USA. To avoid delay, make sure your information is complete and correct. We will confirm your order via the e-mail address you provide.

SHIPPING INF0RMATION
Last Name
.		 First Name
and M.I.
Shipping
Address
City or
Town		 State or
Province
Postal Code
.		 Country
.
Daytime
Telephone		 E-mail
Address

METHOD OF PAYMENT
Circle one:

Check

Money Order

MasterCard

Visa
Credit Card
Account No.
Expiration
Date		 Signature
x
Name on
Credit Card
Billing Address
for Credit Card

ORDER INFORMATION

Item
Number

How
Many

Name of Item

Unit
Price

Total
         
         
         
         
         
         
         

Shipping & Handling
 Up to $15.00

add $4.95 
 $15.01 to $25.00

add $5.95 
 $25.01 to $35.00

add $6.95 
 $35.01 to $45.00

add $8.95 
 $45.01 to $55.00

add $10.95 
 $55.01 to $65.00

add $11.95 
 $65.01 to $75.00

add $12.95 
 $75.01 to $85.00

add $14.95 
 Orders over $85.00

add $16.95 

Int'l. Orders: Write Us for quote.

Merchandise Total 

  

(See chart at left.) Shipping & Handling 

  

Avoid Filing Claims -- Items Lost or 
Damaged in Transit are Replaced Free 

  1.30

For Optional Express Delivery, Add 
$9.50 in Addition to Shipping & Handling 

  

(Add the four lines above) Subtotal 

  

Indiana Residents: Add 6% Sales Tax 

  

Total Amount Enclosed