FAX ORDER FORM

Complete online, print & sign. Fax to: 1-808-236-0190. Your privacy
is guaranteed. The information will be used only to process your order.

Doll Name and Number Doll Price Shipping Total
Grand Total


Enter Customer Information
 
Your Name: 
Street Address: 
City: 
State:    Zip Code: 
Phone:             FAX: 
Email address: 


VISA/MC

      Enter Credit Card Information

         (Visa and MasterCard only)




Name on Credit Card: 
Credit Card Number: 
3-digit CVV Number:
Zip Code Registered to Card:
Expiration Date: 
Cardholder's Signature:

Fax form to: 1-808-236-0190


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