Buckets Gone Wild!
Mail Order Form

Please print this form, complete the information and send with your payment to:
Georgia Manning Lewis                   
Buckets Gone Wild!                                                 
P.O. Box 61
Conway, AR 72033                    Fax 501-327-7258                                 Wholesale orders welcomed

Name and Mailing Address:                                        






Email Address:                                                                    Telephone:

.......................................................................................................................................................................................
Your Order                 
Phone 501-681-7801                       gigi@bucketsgonewild.com
 
 
 
 
(        )
 
Your information will never be shared with others.
Payment Type:   Check - Money Order.  Make payable to Buckets Gone Wild!           
Credit Card:  By PayPal
Home
  Quantity
 Unit Price
 Shipping & Handling
 Total
Tote-all-Bucket Pattern
   $10.00  
 $2.00
 $
Jitter Bucket Pattern
   $10.00  
 $2.00
 $
         
     

1                           $7.50
2                          $9.50
3                         $10.50
4                         $13.00
  
Store-it-Bucket Seat
(Instructions included)
   $10.00
 $
       
       
       
      AR residents add 6%
  
         Total     US$