PEZ Collectors Mail-In/FAX Order

Just print out this order form, and clearly print ALL the information as required, and FAX or mail the completed order form, along with your check or credit card no. to the address below.
NO Alaska or Hawaii orders can be accepted with this special mail-in form.
This order form is for the lower 48 States Only. Sorry, NO C.O.D. orders are accepted either.

(Please Print) NAME
FULL SHIPPING ADDRESS
EXTRA ADDRESS LINE
CITY
Ship to: STATE
ZIP CODE + 4	___- ___- ___- ___- ___ + ___- ___- ___- ___.
Home Telephone	___- ___- ___+ ___- ___- ___+ ___- ___- ___- ___.
E-mail Address

___- ___- ___- ___ / ___- ___- ___- ___ / ___- ___- ___- ___ / ___- ___- ___- ___

CIRCLE ONE CARD: Visa, MC, AmX, Disc. Expires: ___- ___ / ___- ___

Stock Number:
Description of PEZ Collectors Dispenser
Amount



$     .



$     .



$     .



$     .



$     .



$     .



U.S.P.S. Shipping Charge (from chart below, please fill in the amount, based on your Ship To: STATE)

$     .



DELIVERY CONFIRMATION, INSURANCE, and Handling Charge:

$   2.95


Check payable to: YANKEE HARVEST, LLC.       TOTAL
$     .

Shipping Charge *(PER PEZ ORDER)*
U.S.P.S. Mail
Shipped in plain unmarked containers.

Each
PEZ
Order

To A Connecticut Address $ 2.00

East of Mississippi River 2.50

West of Mississippi River 3.00

Please enclose your check or money order made payable to: YANKEE HARVEST, LLC.,
along with this filled out ORDER FORM, and MAIL TO:

Yankee Harvest, LLC.
Post Office Box 6705
Hamden, CT. 06517-6705

Another option that we offer our PEZ COLLECTOR customers is that you may call us at:
1 - 2 0 3 - 7 7 6 - 2 0 9 1
OR
FAX this order form to:
1 - 2 0 3 - 7 7 6 - 1 0 8 9
(If Busy, please leave us a Voice Mail Message with your phone number)
Either way, we will call you right back and obtain your ordering information and/or credit card number.
Very quickly, easily, and secure...! Shipped in plain unmarked containers.

Return to PEZ Collectors Corner Main Page

Stock Number:	Description of PEZ Collectors Dispenser	Amount
		$ .
		$ .
		$ .
		$ .
		$ .
		$ .
	U.S.P.S. Shipping Charge (from chart below, please fill in the amount, based on your Ship To: STATE)	$ .
	DELIVERY CONFIRMATION, INSURANCE, and Handling Charge:	$ 2.95
	Check payable to: YANKEE HARVEST, LLC. TOTAL	$ .

Shipping Charge (PER PEZ ORDER) U.S.P.S. Mail Shipped in plain unmarked containers.	Each PEZ Order
To A Connecticut Address	$ 2.00
East of Mississippi River	2.50
West of Mississippi River	3.00