Welcome to Our Order Form Page

Welcome to Our Order Form Page ~ORDER FORM~
Collector's Cubby, Shenandoah, Virginia, USA. {Your Local Collectable Source!}

DIRECTIONS:

Please simply fill in this form on your PC, then print it out on your printer
and mail it to us with your payment. For those without a printer, simply
duplicate the information on paper or an index card as follows:

Make Check or Money Order Payable to: Collector's Cubby
Mail to: Collector's Cubby, P.O. Box 298, Shenandoah, Virginia 22849

How did you find out about us?:
I am interested in ("X" those that apply): Writing, Trading, Buying, Selling.
Your Name: Your Age:
Address:
City: State/Zip:
Phone Number: Collector Type:
Your E-Mail Address: Web Page:

---ITEM DESCRIPTION---
If you want Collectible Pen
Pal(s) then "X" here.
($2.00/Each), No Tax

---Your Interests---
1:
2:
(Write in above as needed)

---How many Pals?---
($2.00 x #Pals Desired)

$2.00 x

---Your Cost---

$

---ITEM DESCRIPTION---
Ordering Inventory Journal(s)
then "X" here. ($5.00/Each)
ADD $.23 VA Sales Tax
+ $1.00 Shipping/Handling Each

---How many Journals would you like?---
($5.00+$.23+$1.00= $6.23 Each)

$6.23 x

---Your Cost---

$

---------------------------------YOUR TOTAL ORDER COST---------------------------------
Pal Cost $ + Journal Cost $ = Total Cost of: $
which is being paid via Check # or Money Order #.

Please allow 2-4 weeks for delivery. Thank you!

~BACK TO OUR MAIN PAGE~

Send comments and suggestions to: Herlan at CFWNet, or Contact us at RICANet.

This Web Site has been designed and prepared by:
Herlan/Kisling
McGaheysville, Virginia, USA.
Updated: February 8, 1998