FANCY PHOTO PILLOWS ORDER FORM PRINT OUT - FILL OUT - MAIL IN
(Please Print or Type)
"BILL TO" :	"SHIP TO" :
Name:	Name:
Address:	Address:
City:	City:
State/Zip:	State/Zip:
Area/Tel:	Area/Tel:
E-mail:	E-mail:
ORDER INFORMATION: 1. Price per pillow is $40.00 using one (1) photo. 2. $5.00 for each additional photo. Maximum three (3) photos per pillow. 3. Fancy Photo Pillows are individually packaged and box shipped via UPS Ground.. 4. All original photos will be returned with your order in original condition..
Special Instructions:_______________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
ORDER CALCULATION $40.00 per pillow (includes 1st photo): _________________________ 2 photos add $5.00 / 3 photos add $10.00: _________________________ Add 8.75% sales tax on Illinois orders: _________________________ Shipping $9.50** per pillow: _________________________ TOTAL AMOUNT ENCLOSED: _________________________
SHIPPING RATE**: Shipping rate is for Continental US shipments only. Please contact us via email for International rates.
METHOD OF PAYMENT: Include Check or Money Order (Credit card orders only accepted thru Paypal at our website www.fancyphotopillows.com). Mail your payment and photo to:
FANCY PHOTO PILLOWS 141 N. ROBERTA AVENUE NORTHLAKE, IL 60164 REMEMBER...Protect your photographs. Insert cardbord in the envelope or use a photomailer.