Giggletime Toys - Flipbook - Page 66
1.800.423.5198 • Fax 800.873.1758
R
WWW.GIGGLETIME.COM
2021 CATALOG #227
BILLING ADDRESS
SHIPPING ADDRESS
UPS will NOT deliver to a P.O. Box
(From back of catalog - if applicable)
Customer Number:________________________________________
(From back of catalog)
(From back of catalog)
Mail Code:__________________
Discount Code:________________
Name: __________________________________________________
Name: __________________________________________________
Street: _________________________________________________
City, State, Zip: ____________________________________________
Phone: (_______) _________________________________________
(Required for all orders)
E-mail Address: ___________________________________________
City, State, Zip: ____________________________________________
Phone: (_______) _________________________________________
Fax: (_______) __________________________________________
PAYMENT METHOD
We will bill dental offices, medical offices, schools and public entities. First-time orders over $250 require
pre-payment. All others must include payment with order by check or credit card. Personalized and international
orders require pre-payment. All sales in U.S. Dollars.
q CHECK
q AMERICAN EXPRESS
q VISA
q BILL US
q MASTERCARD
q DISCOVER
q PO # _______________ If a PO is required, please attach or fax with this order form.
CREDIT CARD NUMBER
Exp.
/
Cardholder Name:_________________________________________
Cardholder Signature:______________________________________
Credit Card Billing Address:___________________________________
Credit Card Billing Zip Code:__________________________________
QUANTITY
Street: _________________________________________________
ITEM #
CHECK ALL THAT APPLY
q DENTAL OFFICE
q MEDICAL OFFICE
q PEDIATRIC
q SCHOOL RELATED
q PERSONAL (Such as Birthday)
q OTHER __________________
BACKORDER OPTIONS
If an item is out of stock should we:
q Cancel out of stock item q Place item on backorder
q Call to discuss item replacement options
All backorders less than $10 or older than 30 days will be cancelled.
CONTACT PERSON IF WE HAVE A QUESTION
Name: __________________________________________________
Phone: (_________ ) _____________________________________
DESCRIPTION OF ITEM
UNIT PRICE
TOTAL PRICE
FOR ADDITIONAL
INFORMATION ON
PERSONALIZED ITEMS,
SEE REVERSE SIDE.
THANK YOU FOR YOUR ORDER!
† EXPEDITED SHIPPING
q NEXT DAY AIR q SECOND DAY AIR q THIRD DAY SELECT
Actual freight charges apply and depend on the distance, weight and dimensions of your package. Expedited
charges need to be verbally authorized. We will call prior to shipment for approval.
SUB TOTAL
Shipping Charges
Continental US Only
On Orders:
Shipping Fee:
Setup Fee for Customer
Supplied Logos
CA Residents Only
Add 7.25% Sales Tax
SHIPPING OUTSIDE THE CONTINENTAL U.S.
Up To $49.99
q UPS q USPS PRIORITY q USPS PRIORITY EXPRESS q USPS PARCEL SELECT
$50.00 - $99.99
$12.95
All international orders require pre-payment. International orders over $500 require payment by wire transfer.
All customs and duty fees on international orders (including Canada) are the responsibility of
the customer. International orders that need to be tracked should be sent via USPS Global Express or UPS.
$100.00 - $149.99
$13.95
$150.00 - $249.99
$18.95
ORDER TOTAL
*ADDITIONAL SHIPPING INFORMATION:
Actual freight charges apply to orders shipped to Hawaii, Alaska, Puerto Rico, the Virgin Islands and all international locations. Charges
for shipping are dependent on the carrier/service selected along with the distance, weight and dimensions of your packages. Please
specify UPS or USPS. Should you need the freight charge to complete payment prior to submitting your order (i.e. preparation of
Purchase Orders, checks or wire transfer), please call us at 800-423-5198 or 760-873-8319 or e-mail customerservice@giggletime.com.
$250.00 - $299.99
$23.95
PROMO CODE
66
$300.00+
$9.95
FREE!
SEE REVERSE
Ground Shipping
Charges
SEE LEFT
For merchandise orders over $100
(see page 2): __________________
800-423-5198 • www.Giggletime.com