Ladybug Gift Store Order Form

ORDER FORM
Telephone Number: 1-425-996-0553

Mailing Address: P.O. Box 1184
Issaquah, WA 98027

Date: _______________________________________

Shipping Information	Billing Information (if different from Shipping)
Name:_______________________________________	Name:_______________________________________
Address:_____________________________________	Address:_____________________________________
City:________________________________________	City:________________________________________
State:_________ Zipcode:______________________	State:_________ Zipcode:______________________
Phone Number:_______________________________	Phone Number:_______________________________
email:_______________________________________	email:_______________________________________

Credit Card Information
Credit Card Type: VISA MasterCard	Number:_____________________________________
Signature:____________________________________	Expiration_Date:_____________ CSC Code: _______

Your signature is authorizing Ladybug Gift Store to charge your credit card for this order

Order:

Item Number	Description	Gift Wrap¹	Qty	Unit Price	Total Price



				Gift Wrap Charges¹
				Sub-total
				Shipping & Handling²
Gift Message:	______________________________			Sub-total
	______________________________			Tax³
	______________________________			Total

Notes:

¹ Gift Wrap Preference: No Gift Wrap, Complimentary White Gift Paper or Box with Ribbon, or Premium Gift Wrap at $3.49 for each item.
When selecting Premium Gift Wrap, please indicate type of Gift Wrap Paper. Your options are Ladybugs and Daisies, Ladybug Birthday Girl,
Ladybug Sunshine Days, Solid Silver, Solid Red, Solid Pink, Solid Yellow, Solid Blue. Each option includes ribbon.

²Shipping and Handling Charges for shipping within the continental U.S. as well as Alaska, Hawaii, Puerto Rico, Guam and Military Stationed Overseas:

Merchandize Total	Standard Delivery	3 Day Air Delivery	Merchandize Total	Standard Delivery	3 Day Air Delivery
$00.01 to $20.00	$5.95	$9.95	$80.01 to $100.00	$12.95	$16.95
$20.01 to $40.00	$8.95	$12.95	$100.01 to $200.00	$14.95	$18.95
$40.01 to $80.00	$9.95	$13.95	Over $200.00	$16.95	$20.95

³If the shipping destination is Washington State, add 9.5% sales tax

Print the form. After completing all entries, mail the order form to the address at the top of the page. You will receive email confirmation when we receive your order. Thank you for your order!