Printable Tiny Details Mail Order Form
Mail to:
Tiny Details
Order Department
129 Main Street
Groton, NY 13073
Name_______________________________________________
Address____________________________________________
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 $5.99 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:_____________________________________