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BirdBrain Enterprises Order Form

This order form may be e-mailed, but all orders are confirmed by phone.

Fields  marked by an asterisk (*) are required and must be filled in to this form.  Faxing this form without the required information may delay or void your order.  

If you wish to pay via cashier's check or money order please call us to verify the product availability first and to put a reserve on it.  All items shown in the product catalog are one of a kind and each product code is unique to the item shown in the catalog.  Items reserved for purchase will be held for 7 days before being re-entered into inventory.  All items are shipped within 2 business days.

Unless arranged otherwise, customer is responsible for the cost of shipping and handling.  

Please review our return policy before placing your order.

To print out this form for faxing, just right click and choose print.

Contact Information                                                                                

                                                                                                                    

*Name (first, last):     *Today's Date:           

*Address (Street):                                                                      

             *City:        *State:       *Zip:                          

*Home Phone:     Business Phone:                                 

E-mail Address:                                                             

                                                                                                                                              

 

Please enter the unique product code for the item(s) you would like to purchase in the spaces given below.   Please make each selection only once.

  Item # 1     Item name or brief description:    Price $

  Item # 2     Item name or brief description:    Price $

  Item # 3     Item name or brief description:    Price $

  Item # 4     Item name or brief description:    Price $

  Item # 5     Item name or brief description:    Price $

  Item # 6     Item name or brief description:    Price $

  Item # 7     Item name or brief description:    Price $

  Item # 8     Item name or brief description:    Price $

  Item # 9     Item name or brief description:    Price $

Item # 10     Item name or brief description:    Price $

               Please enter in the total of your selected items.  Items are not automatically added.                                                       Total $ 

               Please add the appropriate tax for your area (Polk County, FL add 7% )(Florida residents only)                                          Tax  

               Please charge my account for the following total + shipping and handling                                                             Total + Tax    

 

 
Copyright © 2005 [BirdBrain Enterprises]. All rights reserved.
Revised: March 29, 2008