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Mail Order Form

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

Name and Mailing Address:                                        








Email Address:                                                                                           Telephone:

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Your Order                 
 
 
 
 
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Your information will never be shared with others.
Payment Type:   Check - Money Order.  Make payable to Buckets Gone Wild!           
Credit Card:     By PayPal
  Quantity
 Unit Price
 Shipping & Handling
 Total
Sassy Kat Bucket Pattern
   $10.00
 $2.50
 $
Jitter Bucket Pattern
   $10.00  
 $2.50
 $
Mug Bucket Pattern
   $10.00  
 $2.50
 $
     

1                           $9.50
2                         $10.50
3                         $12.50
4                         $13.00
  
Store-it-Bucket Seat
(Instructions included)
   $10.00
 $
       
       
      AR residents add 6%
  
      Total     US$
  
P.O. Box 61,  Conway, AR 72033       501-681-7801     www.bucketsgonewild.blogspot.com        
Buckets Gone Wild!    Copyright 2004    All Rights Reserved