Order Form
Send printed order form with check, money order, or credit card information enclosed, to:
Cuddle Baby
Attn: Order Dept
PO Box 3
Danebrog, NE 68831
We accept
Mastercard and Visa
Billing Information:
Name ______________________________________________________________
Street _______________________________________________ Apt# __________
City __________________________________ State _______ Zip ______________
Email Address: _______________________________________________________
Phone Number (____)__________________________________________________
If you would like to charge your order, please include the following information:
¤ Visa Account Number________________________________
Expires: Month/Year ___________________________
¤ Mastercard
Shipping Information: (If Different from Billing Address)
Street _______________________________________________ Apt# __________
City __________________________________ State _______ Zip ______________
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Subtotal
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Shipping and Handling
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Applicable Sales Tax (Nebraska residents only)
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Total Amount
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