Mail to: Name_______________________________________________ Tiny Details Order Department Address____________________________________________ 129 Main Street Groton, NY 13073 City_______________________________________________ State________________________ ZIP__________________ Phone (_______) ______ - ________ I understand that my order is subject to the terms and conditions stated in materials I have received directly from Tiny Details. I am 18 years old or older. Signature:_________________________________ Date: __________________ I want these kits: (Enter the names or item numbers) Kit 1: __________________________ Kit 2: __________________________ Kit 3: __________________________ Kit 4: __________________________ Kit 5: __________________________ Kit 6: __________________________ Total # of kits ordered _______ @ $55.00 deposit each = $________ Add $5.85 PER kit for Priority Mail shipping (optional) = $________ NY Residents ONLY! Add $4.40 PER kit sales tax = $________ TOTAL ENCLOSED: $________ CIRCLE ONE: CASH, CREDIT CARD, CHECK, MONEY ORDER (Note: Personal checks take 14 days to clear) Credit Card Number _______________________________________ Credit Card Expiration Date _____________/_________________ Card Validation Code (3 digits) __________________________ Name (as appears on card)_________________________________ Address (as on file with credit card company): Address___________________________________________________ City______________________________________________________ State_______________________________ ZIP__________________ Cardholder Signature:_____________________________________