Secure Order Form

Printable Ordering Form

If you do not wish to order via our secure online shopping system, we suggest that you either call us (1-540-586-4446), e-mail us (teapotstuff@aol.com), or print this page, fill out the form, and mail the completed form to us.

ShinyStuff
630 Mountain Ave.
Bedford, VA 24523

Quantity Produce Name /Number Options Price Each Extended Price

Sub Total

If you are in VA, please add 4.5% sales tax __

Shipping

Make checks payable to ShinyStuff Total Due: ___________

Address:

First Name ________________________________________________

Last Name ________________________________________________

Street: ________________________________________________

City: ________________________________________________

State: ______________

Zip: ______________

Country: ______________

Phone/Email

Phone: ________________________________________________

E-Mail: ________________________________________________

Quantity	Produce Name /Number	Options	Price Each	Extended Price





			Sub Total
		If you are in VA, please add 4.5% sales tax	__
		Shipping
Make checks payable to ShinyStuff			Total Due:	___________


Address:
First Name	________________________________________________
Last Name	________________________________________________
Street:	________________________________________________
City:	________________________________________________
State:	______________
Zip:	______________
Country:	______________

Phone/Email
Phone:	________________________________________________
E-Mail:	________________________________________________