Buckingham the Teddy Bear Order Form -- Please Print Clearly


Name:

Address 1:

Address 2:

City:                                                                   State/Province:                                                    Zip Code:

email address:                                                     phone number:


Product & Quantity:    ______ Teddy Bear Sundays -- Hard Copy -- $20.00 each

                                    ______ Teddy Bear Sundays -- Digital PDF -- $15.00 each

                                    ______ Total

Please contact us at buckinghamtheteddybear@gmail.com to discuss discounts on orders of 3 or more copies.

Print and mail this form to:
Buckingham
4305 Grace Ave.
St. Louis, MO  63116

Make Checks Payable to:  Lynn Yarrington Hunt

                                                                       Thank you for your Order!