Jigsaw Puzzles - Chocolate Jigsaw Puzzle Candy Molds

Chocolate Jigsaw Puzzle Molds
Print and Mail Order Form

Mail to:
Joslin Photo Puzzle Co.
302 Bel Air Road
Southampton, PA 18966-3322

Orders are shipped within 5 work days (Mon-Fri) of receipt.
Please understand we have no control over delivery times by ANY postal carriers.

PRODUCT	SHAPE	Size WHEN COMPLETED	# of Pieces	How Many?	Cost Ea.	Sub-Total
CHOCOLATE JIGSAW PUZZLE MOLDS	RECTANGULAR	8x10"	12		$25.00
CHOCOLATE JIGSAW PUZZLE MOLDS	HEART	7.5"	8		$25.00


Subtotal:
* Add Regular Shipping: (see chart below)
"SPECIAL SHIPPING REQUEST (Within Continental US), additional cost" 3 Day UPS-Add $6.00 2 Day Air-Add $12.00 Next Day Air-Add $30.00
RUSH Service - Shipped in 2 working days (Within Continental US) Double the puzzle cost and add $30 for next-day air
Alaska & Hawaii-Add $15.00 Other Outside USA-Add $15.00
Pa. Residents add 6% sales tax; Phila. & Allegheny County, PA add 7% sales tax:
Total Enclosed US Funds:

Billing/Shipping and Payment Information

Name
Address
City
State
Zip
Country
Phone
E-Mail
Check?	I am enclosing a check for payment
Credit Card Type	Visa MasterCard Discover American Express
Credit Card #
V-Code (# on back of card)
Card Expiration
Credit Card Holder
Credit Card Signature

* Regular Shipping Chart (Within Continental USA)

up to $13.00	$5.75
$13.01 to $24.00	$7.50
$24.01 to $35.00	$7.85
$35.01 to $48.00	$8.50
$48.01 to $50.00	$10.00
$60.01 to $75.00	$12.00
$75.01 to $84.00	$13.00
$84.01 up	$14.00

Mail to:
Joslin Photo Puzzle Co.
302 Bel Air Road
Southampton, PA 18966-3322 USA

Be sure to include the following:

This completed order form

Your photo or CD

Your check or credit card info