Printable Order Form

INSTRUCTIONS: Fill in all the info, print it out and snail-mail it to 5 East Eglin Blvd, Londonderry, NH 03053. Please see http://www.wildlife-fantasy.com to find the item you want and describe it below.

Please fill in all 
shipping information Buyers name:____________________________________________________

Recipients 
name (if different):_________________________________

Shipping 
address:_______________________________________________

City:___________________________________

State:____________ 
Country______________

Postal zip code:________________________

Phone# 
of buyer:________________________ E-mail of buyer:________________________

Please send me the following item(s):

Describe your item here (name of picture, price, amount and size if applicable)

____________________________________________________________________________________________

____________________________________________________________________________________________

Shipping:
| $1.50 for up to 5 prints: Standard Mail | 2-Day shipping add $8.00 | Overnight add $12.00 |

Please choose payment method (only if order is OVER $10.00, including shipping)

Check _____ (payable to Rebecca Gallant) | Money Order _____ |
Credit Card_____ Card Number_______________________ Exp. Date_____/_____

Please fill in your total costs here:________________________