First Name
Last Name
Company (optional)
Address 1
Address 2
City
State
Zip/Postal Code
Country
Telephone (day)
Telephone (evening)
Fax number (optional)
Payment Method:	Credit Card   Personal Check
Credit Card type:	Mastercard Visa AmericanExpress Discover
Credit Card Number*
*If you are uncomfortable submitting your credit card number via the Internet, leave this field blank and we will call you.
Expiration Date (month/year)	01 02 03 04 05 06 07 08 09 10 11 12 / 1999 2000 2001 2002 2003
E-mail Address

How would you like to receive confirmation of your order? E-mail (default)   U.S. Mail   Fax

Item Name
Item Price
Item Color (if applicable)
Item Size (if applicable)
For Personalized Gifts only:
Design:	Choose one: Linear Alphabet Rounded Alphabet Animal Shapes Bears At Play Classic Winnie Winnie with Honey Pot Purple Dino Pink Baby Bear w/ Ribbons Primary Balloons/Hearts Pastel Balloons Pink Hearts/Ribbons Yellow Hearts/Ribbons Moon and Stars Pastel Moon and Stars Hearts and Bows Geometric Shapes Rain or Shine Sailboat Sports Travel Time Western Theme Flower Vine
Child's Name:
Paint Colors:
Special Instructions (if any)

Delivery Date
Message on Card:

Check this box if shipping address for Item #1 is same as billing address. (If Item #1 is to be shipped to the billing address, leave Item #1 Shipping Address fields blank.)

First Name
Last Name
Company (optional)
Address 1
Address 2
City
State
Zip/Postal Code
Country
Telephone (day)
Telephone (evening)
Fax number (optional)

Item Name
Item Price
Item Color (if applicable)
Item Size (if applicable)
For Personalized Gifts only:
Design:	Choose one: Linear Alphabet Rounded Alphabet Animal Shapes Bears At Play Classic Winnie Winnie with Honey Pot Purple Dino Pink Baby Bear w/ Ribbons Primary Balloons/Hearts Pastel Balloons Pink Hearts/Ribbons Yellow Hearts/Ribbons Moon and Stars Pastel Moon and Stars Hearts and Bows Geometric Shapes Rain or Shine Sailboat Sports Travel Time Western Theme Flower Vine
Child's Name:
Paint Colors:
Special Instructions (if any)

Delivery Date
Message on Card:

Check this box if shipping address for Item #2 is same as billing address. (If Item #2 is to be shipped to the billing address, leave Item #1 Shipping Address fields blank.)

Leave Shipping Address fields blank if same as billing address.

First Name
Last Name
Company (optional)
Address 1
Address 2
City
State
Zip/Postal Code
Country
Telephone (day)
Telephone (evening)
Fax number (optional)

Return Policy:
For our personalized products, we do not allow refunds. If a spelling error was made on our part, e-mail us. We will replace the item at no additional charge. If a product arrives broken, e-mail us within 5 days and we will issue a return # and arrange shipping for you to exchange the item at no charge to you.

To order more than 2 items, please fill out and submit this form again.

We reserve the right to make substitutions of equal or greater value on any items currently out of stock (of course we will notify you of any such changes).

Where did you hear about us? If from a web site, please supply address: