Order Form – Photo Coasters
This item requires a photo to be mailed to us before processing can begin.

Please print out this order form, fill it out and
mail it to us with your photo(s) and payment.

Happy Kids Productions
247 Route 100, Suite 1005
Somers, NY 10589-3241

Remember to: include your Photo(s) - wallet size to 8”x10”.
You can use the same photo on each set of four or a different photo on each coaster (four different photos in one set of four).

All photos are returned with finished product.

 
ITEM #
QTY
DESCRIPTION/DESIGN

Price

    
    
    
    
    
    
    

Shipping & Handling (for each address shipped to)

Up to $14.95 add $5.95

$80.00 to $99.95 add $10.95

$15.00 to $29.95 add $6.95

$100.00 to $119.95 add $11.95

$30.00 to $39.95 add $7.95

$120.00 to $149.95 add $12.95

$40.00 to $59.95 add $8.95

$150.00 to $199.95 add $13.95

$60.00 to $79.95 add $9.95

$200.00 & over add $15.95

 

Payment Due
 ____Photo Coasters (set of 4) $9.95 ____________
 ____Shipping & Handling (see chart)____________
  
Add Sales Tax (NY State only)
____________
   
TOTAL
____________
 
Shipping Information (Please print clearly) Billing Information (if different)
Name:Name:
Address:Address:
City:State: Zip:City:State: Zip:
Email:Email:
Daytime Telephone #:Daytime Telephone #:
Evening Telephone #:Evening Telephone #:

Payment Method (Credit Card, Check or Money Order)
Visa Master Card Discover American Express
Credit Card #Expiration Date (month/year):
Check or Money Order Enclosed