Order Form – Puzzles
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 5" x 7". Place a post-it note on the back of each photo, write the Item No. , Size and Number of Pieces for each puzzle ordered. The same photo can be used for multiple orders. All photos are returned with finished product.
11 x 14 (56 Jumbo Size Pieces), 11 x 14 (150 Pieces) & 15 x 20 (408 Pieces).
 
ITEM #
QTY

PUZZLE SIZE

NUMBER OF PIECES
    
    
    
    
    
    
    
Shipping & Handling (for each address shipped to)
Up to $14.95 add $4.95$80.00 to $99.95 add $9.95
$15.00 to $29.95 add $5.95$100.00 to $119.95 add $10.95
$30.00 to $39.95 add $6.95$120.00 to $149.95 add $12.95
$40.00 to $59.95 add $7.95$150.00 to $199.95 add $14.95
$60.00 to $79.95 add $8.95$200.00 & over add $16.95

 

Payment Due
 ____11" x 14" Photo Puzzles $19.95 ea.____________
 ____15" x 20" Photo Puzzles $32.95 ea.____________
 ____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