Fill Out form On Line to Order or Print to Your Printer to Phone or Fax in Later.

CIGAR BAND FORM

Boy   Girl   Man   Woman   Business  Event   Other
 Qty.

Prices

Name

Date of Birth or Event

Time of Birth or Event     AM      PM

Weight (birth orders)

Length (birth orders)

City & State of Birth, Birthday or Event

Other Info

Master Card Visa Discover Amex
Number-- -
ExpiresName as it appears on card
Phone in Card number if you prefer (909) 685-6397

Ship To:

Orders for Birth are printed EVERY DAY! Mon. thru Fri.
*guaranteed next day with Fed X.
*Orders received by 12 noon PST ship the same day. (FedX guarantee guidelines apply)

Or use Priority Mail by the US Postal Service, usually 2 to 4 days for delivery.
There is a $3. handling fee on all orders.

CHOOSE ONE    Priority Mail       FED X
Choose this box for FedEx to leave without signature
Choose this box for Saturday Delivery
Prices
Orders placed on Friday by noon can be delivered Saturday with FedX.
Your order will arrive Monday if Saturday delivery is not checked.


Phone Number (home) Phone Number (work)
E Mail address

Additional comments:

Where did you hear about us? or How did you find us?

THANK YOU FOR YOUR ORDER!