1. ORDERED BY

 2. SHIP TO
 
Name
Name
 
Address
Address
 
City /
State / Zip
City /
State / Zip
 
Daytime Phone
Daytime Phone
 
Email Address
Email Address

3. METHOD OF PAYMENT
 
( If paying by CREDIT CARD, please indicate the type, number and expiration date below)

  MasterCard           Visa           American Express           Discover
 
  CARD #

   

 

  EXPIRATION DATE  

  ( If paying by PERSONAL CHECK, please make payable to Small World Productions
and indicate the check number, date and amount below) 
  CHECK #_______________   DATE_______________   AMOUNT $______________  
 

4. ITEMS ORDERED
 
  Code Item Name (For rucksacks & money belts, please indicate color) QTY Price Ea.

TOTAL

           
           
           
           
           
           
 

STANDARD Shipping & Handling (7-10 days) see chart  

 
 

OR      RUSH Shipping & Handling (4 business days) see chart  

 
 

OR     CANADIAN Residents see chart  

 
 

SALES TAX:Washington State residents add 8.8%  

 
 
Mail Your Order To: Small World Productions
PO Box 28369, Seattle WA 98118-8369

TOTAL AMOUNT DUE