To place an order, please print this page and fax or mail your order.
FAX Order To: 1-248-928-5239 MAIL Order To: Bloomin Baby
2313 Clawson Ave.
Royal Oak, MI 48073
Sold To:
Name ___________________________
Address ___________________________
City ___________________________
State ________ Zip ________________
Please note your name an address as it appears on file with
your credit card.
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Ship To: (if different from "Sold To")
Name ___________________________
Address ___________________________
Address ___________________________
City ___________________________
State ________ Zip _______________
Gift Message to Read_______________________
________________________________________
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ITEMS ORDERED:
Item #
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Quantity
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Description
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Size (if applicable)
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Color (if applicable)
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Unit Price
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Gift Wrap Y / N
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Total
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Method of Payment
Reminder: Make certain that your billing name and address above are the same as the name and address on file with your
credit card company
Circle: VISA MASTERCARD AMERICAN EXPRESS
Credit Card Number_________________________________
Expiration Date _________________________________
Signature _________________________________
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Merchandise Subtotal
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Add 6% if shipping to a Michigan
Address
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Gift Wrap (see box B
below)
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Shipping and Handling (see box
A below)
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Total
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Box A - Shipping & Handling
Rates are based on a shipping address within the contiguous U.S. States. To ship to HI, PR, GU, and AK will be shipped via
Priority Mail and will take up to 3 weeks for delivery.
Standard Shipping
7-10 business days
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Dollar Value of Order
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Shipping Rate
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Up to $24.99
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$5.95
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$25.00 - $49.99
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$7.95
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$50.00 - $74.99
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$9.95
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$75.00 - $99.99
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$11.95
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$100.00 - $149.99
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$12.95
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$150.00 - $199.99
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$13.95
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$200.00 - $299.99
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$14.95
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$300.00 and Up
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$16.95
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Expedited Shipping
3-4 business days
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Dollar Value of Order
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Shipping Rate
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Up to $24.99
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$11.95
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$25.00 - $49.99
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$13.95
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$50.00 - $74.99
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$15.95
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$75.00 - $99.99
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$17.95
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$100.00 - $149.99
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$18.95
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$150.00 - $199.99
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$19.95
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$200.00 - $299.99
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$20.95
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$300.00 and Up
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$22.95
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Box B - Gift Wrapping
To have an order gift wrapped, please check the appropriate box. A $3 charge will be applied to your order for this service. An
appropriate gift package will be selected for your order based on the shape and size of items purchased.
There will be a $3 charge for each gift box. You can combine as many items as you like into one box.
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