Order Page - Blackbeary Forest

Please Provide the Following Order Information:

Contact Information:

* Denotes Required Fields

Name *

Street address *

Address (cont.)

City *

State/Province *

Zip/Postal code *

Country

Work Phone

Home Phone *

FAX

E-mail * or "No Email"

Order Information:

Name	Item #	Price Ea.	Quantity	Total
				$
				$
				$
				$
				$
				$
				$
				$

Payment (circle one)
MC | Visa | Check | Money Order

Card #_________________________________
Exp. Date:_____________________________

_______________________________________
Customer Signature (credit card only)

Sub Total	$
TN res. add 8.5% tax	$
Outside US add 20% **(Patterns Only)	$
Total Amount	$

Please make checks payable to: Blackbeary Forest
Please allow 4 - 6 weeks for delivery. You will be notified if delivery is delayed.
**Outside US add 20% for pattern orders.

Additional Information:

Billing Information:

Method of Payment *

Name On Card

Card Number

Expiration

If Different From Address Above: (Please Include)

Credit Card Billing Address

C.C. City

C.C. State

C.C. Zip

EASY Terms for making and selling Blackbeary Forest patterns

Handmade In The USA

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