EAGLE   GIFTS   GALORE
2063 S. HELLMAN AVE., SUITE C, ONTARIO, CA 91761   Voice: (909) 947-6634
Fax: (909) 947-6666     e-Mail:  egg@EagleGiftsGalore.net     http://www.EagleGiftsGalore.net
FIGURINE  ORDER  FORM


Fill in and print this form, sign it, and Fax or mail it to the address above.
Please do NOT send Credit Card information via eMail.
All prices subject to change.





FIGURINE   ORDER   SUMMARY
Order Date: - -
Figurine Price
Calif. Sales Tax *   @     7.75%   =   
Shiping & Handling  
Total Order   = 
* California Residents only
Date Figurine is needed by: - -


Billing Address
  Parent's Name      Home Phone     - -
 Address 1      City    
 Address 2      State      Zip    
 E-Mail      Cell/Wk Phone     - -


Shipping Address (if different)
  Name       Phone     - -
 Address 1      City    
 Address 2      State      Zip    

















EAGLE   GIFTS   GALORE
2063 S. HELLMAN AVE., SUITE C, ONTARIO, CA 91761   Voice: (909) 947-6634
Fax: (909) 947-6666     e-Mail:  egg@EagleGiftsGalore.net     http://www.EagleGiftsGalore.net
WILD  BEAST  MASCOT  STATUE  ORDER  FORM   PAGE   2


PAYMENT   INFORMATION:
Check Enclosed   Please charge my Credit Card
CREDIT  CARD   INFORMATION:
Name on Credit Card:
First   Middle   Last  
 
NOTE: Please make sure that the Billing Address (above) is where the credit card statement is sent.
 
Credit Card Type:        Visa   Mastercard
 
CREDIT   CARD   NUMBER: EXPIRATION   DATE
         Month / Year  
 
3  OR  4   DIGIT   SECURITY   CODE
 
Signature: _____________________________________________________