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Customer Information:

 Name:

Address:

 City:

 State

Zip:

 

Phone#:

(Box 1 = Area code & Box 2 = Phone #)

E-mail:

 

 

* Note: The color choices are: Red, Orange, Yellow, Green, Blue, White, Cranberry, Pink and Purple (color tones may vary).  

#

Item Number:

Qty.

Item Description:

Color Selection(s):

Price:

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10

* Shipping charges are $8.00 for the first bird house or feeder and $5.00 for each additional house or feeder (USD).

TOTAL (* including shipping)
 

Method of Payment:

(Check only one)

Check: Cashiers Check:
Money Order:

Sorry, we do not currently accept credit cards as we are awaiting our credit card acceptance ability.  Please check back soon.