Nikki's Pony Express - Printable Fax or Mail Order Form

Printable Fax Or Mail Order Form

NIKKIS PONY EXPRESS

PRINT THIS FORM TO PAY FOR AN ORDER USING A CHECK ,MONEY ORDER

OR ANY MAJOR CREDIT CARD

Nikki's Pony Express 13 Rose Court Middlebury,CT. 06762 203-758-2354
Ship To: Check One:______Residence______Business
First Name:	MI.:	Last Name:
Address 1:
Address 2:
City:	State:	Zip:
Phone: ( )
If this is a gift, indicate message on card in space below:

Payment: Check, Money Order or Credit Card information send with this form to: Nikki's Pony Express 13 Rose Court Middlebury,CT. 06762

Name of Item:	Qty:	Unit Price:	Options:





Subtotal:
UPS Ground Residential units:
*Tax:
TOTAL:

Please include E-mail Address:______________________________________ .

* Connecticut residents add 6% tax to subtotal amount.

Shop Online!! 24 Hours a Day, 7 Days a Week!!

ALL MAJOR CREDIT CARDS ACCEPTED BY PHONE OR MAIL

VISA - MASTERCARD - DISCOVER - AMERICAN EXPRESS

Phone Orders Call Toll Free - 1-866-758-2354

Please e-mail us if you need additional information. Click here to contact us.

We're sure you'll be pleased with the products that NIKKI'S PONY EXPRESS
has to offer. Come and visit our Web site often.
We're always adding new and exciting merchandise