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Welcome to my
Order Form
Order now...pay later! Please read below.


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This order form does not ask for your credit card.
I will send you an email invoice later.

To protect your security, I process payments through Square and PayPal.
It's easy, convenient, and secure.


If you are a PayPal user, please indicate so, on my order form below.


phone_right_transp1.gif   Prefer to order by phone?   Just call Alan TheEggMan at (407) 352-3654




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Before filling out this form, please jot down a list of titles and prices of
ALL your selections.
Please only fill out this form after you have
finished shopping.
If you leave this page then return, information entered will be lost.
After you fill out this order form, click "SUBMIT"


Do not press "ENTER" or "RETURN" while completing form.
Use "TAB" to move to the next field, or click within each text box.

Your Egg
Selections
Enter title(s) of egg(s) you wish to order in boxes (1) thru (10) below. 
To order more than ten items, please see instructions below box 10.

To remove an item, highlight title below and hit "delete" on your keyboard.
Assume only one of each design is available, or Click here to email me
to inquire about quantities.

Title  1: price:
Title  2:
price:
Title  3:
price:
Title  4:
price:
Title  5:
price:
Title  6:
price:
Title  7:
price:
Title  8:
price:
Title  9:
price:
Title 10:
price:

To order more than ten items, don't enter any items above. Just type
"see email" in one of the boxes above. Then fill out the remainder of this form, and send me a separate email with your name, and a list of the TITLES and PRICES you wish to order.

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I will match the list with the contact and shipping information on this form. After you submit this form, the "Email Me" link will appear again on the next page for your convenience.


COMMENTS
Please enter any additional comments in the box below. Space is unlimited.


YOUR NAME

First nameLast name

YOUR E-Mail ADDRESS:

Please enter your email address:

Please re-enter your email address:



YOUR MAILING ADDRESS 

Prices shown on my website include shipping to the continental U.S

Due to increases in international shipping rates, I am no longer able to ship to countries outside the U.S.

Please fill in your own MAILING ADDRESS. Your order will be shipped to this address. If you wish your order to be shipped to another address, you will be able to enter that information in the next section.

your street address (number and street)

apt

city,

state

zip


YOUR PHONE NUMBER


Area Code Number


PayPal or Square

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Are you a PayPal user?  Please type Yes or No:   
If you don't use PayPal, no problem!  I will send you an email invoice through Square.   Square is a simple, easy to use site where you may securely enter your credit card info.

If you choose to pay by check, you may indicate so in the next section.


PAY BY CHECK?
If you wish to pay by check, please click in this box:
I'll send you an email with instructions for paying by check. Please make no payment action until you receive this email.   If you are a first time customer, your shipment may be delayed until check has cleared.

Are you ordering because you receive my email newsletters?

 
Type Yes or No:



THANK YOU!
Thanks for your order! Your satisfaction is guaranteed!
When you have completed the form, please click:
 

You will receive a confirmation email in 2 days or less,
followed by an email with a link to 
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where you may securely enter your credit card payment information.
If you do not receive a confirmation email in 2 days or less,
please inquire by email as to the status of your order.
(You will find a link to EMAIL ME on the Main Menu Page.)