Please print this form and send to:
LaLaLand Teddy Bears
3412 Milwaukee Avenue
Northbrook, IL 60062
Please pay by check or money order.
Select Bears: _______ 9 inch Antique Bear With Santa Suit $19.95 _______ 11 inch Laura Bear In Lace Eyelet Dress and Bow $22.50 _______ 10 inch Happy Halloween Bear $16.95 _______ Total Price of Bears _______ Shipping and Handling (See Policies Page) _______ Illinois State Sales Tax (If Applicable) _______ TOTAL Remember you will receive a free bear with each order! To include a special message with a bear gift, please include it here or send it in the body of an e-mail message: ____________________________________________________________________________ Bill To: Send Bears To: Name ________________________________ Name ________________________________ Street Address ______________________ Street Address ______________________ Apt. #_______________________________ Apt. # ______________________________ City ________________________________ City ________________________________ State or Province ___________________ State or Province ___________________ Zip ____________ Country ____________ Zip ____________ Country ____________ Phone _______________________________ Phone _______________________________ Email Address _______________________
Thank you for your order. Please allow 3 to 4 weeks for delivery. You will receive notification by e-mail when your order has been processed.
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