Amtraco.com
Offline Order Form

 Please Check the appropriate box below
After you have filled out the form "Please Print It" and Submit
You will receive a E-mail or Phone Call to confirm your order within 24 hours & give you a total for your purchase

I will send a Check or Money Order I will call your Sales Department at 888-243-6040 with Credit Card Info I would like to place a special order

Select the item(s) below that you would like to order, or check price.
 Your transaction will be confirmed by email.

Select your Moonbabies Here: Select Quantity:
Shipping Options
   
Free Standard Shipping
Priority Shipping $4.00 Extra
Express Shipping $16.00 Extra (Call to confirm availability)
 

GENERAL INFORMATION
First Name: Last Name:  
Address:
City: State: Zip:
Country:
Phone Number:
E-Mail Address:

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1. Use this form to pay with credit card
2.Use this form to pay by check, money order, Credit Card submission offline or special orders

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This Page Last Modified on 05/05/04
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