Required for order processing. ID#:

Where did this order come from? Online Gift Shop World of Products Bayberry LaneYour Website(Please insert URL address)

Which shipping method: USPS UPS Ground International

Your Full Name:

Your Company Name:

Your Street Address:

Your City/State/Zip:

Your Telephone: Your Fax Number:

Press click and choose one: Visa MasterCard Amex Diner's Club Visa Debit MasterCard Debit Check

Double check credit/debit card information to avoid delay in processing Credit/Debit Card #: Expiration Date:

Name As It Appears On Credit/Debit Card:

Complete the following if faxing and paying by check: Name as it appears on check:

Address on check:

City, State, Zip on check:

Is this your current address on the check?Yes No Is this a personal or business check?PersonalBusiness

There are three set of numbers on the bottom of your check. Please enter 1 set of numbers in each box

Your E-Mail Address (Required): Required for verification of order and to avoid delay in processing

Is this being drop shipped to your customer: Yes No

DROP SHIP TO: If different address/person: Name:

Their Email address Required for special email/snail confirmation/receipt of order, so we do not take your customers away from you:

Company:

Address:

City/State/Zip:

Where is order being shipped to? Business Residential

Comments concerning order: BE SURE to press the ENTER KEY for a new line. When done, press the TAB KEY to move to next field