Please Print This Page.
Complete This Order Form And
Mail With Check Made Payable To:
Complete This Order Form And
Mail With Check Made Payable To:
Marie Adele, LLC
Marie Adele, LLC
Att: SweetHeart Pouch
PO Box 4153
Brick, New Jersey 08723
Att: SweetHeart Pouch
PO Box 4153
Brick, New Jersey 08723
| This Order Form Is For Money Order And Check Orders Only. (Please Place Credit Card And Debit Card Orders On Our Website Through Our Pay Pal Shopping Cart) |
| Please Print |
_________________________________________________ ____________________________________________
Last Name First Name
_____________________________________________________________________ ____________
Address Apt.#
______________________________ ____________________________________ ____________
City State Zip Code
__________________ ______________________________________ ______________________
Phone Email Address Fax
Last Name First Name
_____________________________________________________________________ ____________
Address Apt.#
______________________________ ____________________________________ ____________
City State Zip Code
__________________ ______________________________________ ______________________
Phone Email Address Fax
| We will not share any of your personal information. Phone, Fax and Email information will only be used to contact you regarding your order. |
| Please Put Quantity In Space Next To Color Choice Below |
Light Pink_____ Light Yellow_____
Lavender_____ Black_____ Red_____
Emerald Green_____ Light Blue_____
Lavender_____ Black_____ Red_____
Emerald Green_____ Light Blue_____
Total # of SweetHeart Pouches® ordered _____ X $8.00 =
7% Sales Tax For Delivery To New Jersey =
| Shipping & Handling = |
Total Enclosed =
Merchandise Total =
| Subtotal Merchandise + Shipping & Handling = |
| Girl SweetHeart Pouch Bear _____ Boy SweetHeart Pouch Bear _____ |
| ® |
| ® |
| Total # of SweetHeart Pouch® Bears ordered _____ X $20.00 = |
| ® |
| + |
| + |
| SweetHeart Pouches® |
| SweetHeart Pouch Bears |
| = |
| = |
| = |
| + |
$
$
$
$
$
$
$
SweetHeart Pouches® and
SweetHeart Pouch® Teddy Bears
are sold separately. To order a
SweetHeart Pouch® Teddy Bear
with a SweetHeart Pouch® to put in
its pocket, be sure to order both
items!
SweetHeart Pouch® Teddy Bears
are sold separately. To order a
SweetHeart Pouch® Teddy Bear
with a SweetHeart Pouch® to put in
its pocket, be sure to order both
items!
| Merchandise Total |
Shipping & Handling Charges
| (See Shipping & Handling Chart) |
| Add |
| $6.00 |
| $.01 - $24.99 |
| $7.50 |
| $25.00 - $49.99 |
| $8.75 |
| $50.00 - $74.99 |
| $10.00 |
| $75.00 - $99.99 |
FREE!
| $100.00 or more |