A Child at Heart Order Form
Please Note: There is a minimum of $30.00 orders only                                * Required when ordering

Billing Address:	Shipping Address:
*Name	Name
*Address	Address
*City/State/Zip	City/State/Zip
*Phone (       )	*Email Address

Method of Payment:              Check              Money Order              Master Card              Visa
(Sorry, No  C.O.D.'s or Overseas Checks Accepted)

*Credit Card Number:*Exp.Date*cvv:

*Signature (Order will not be sent without Signature):

Qty	Stock #	Name of Item	Unit Price	Total

Sub Total: $
8.5% State Tax: $ (Oklahoma Residence Only)
Total: $
Shipping & Handling: $ (* See Chart Below *)
Grand Total: $

Shipping & Handling Charges:

******* Packing, postage & insured delivery to each destination in the Continental U.S.A. Add 15% to all orders. Please Call or Email us for Shipping & Handling Charges to Canada or other Countries outside the Continental U.S.A.

Dollhouse are not included in the above S & H charge