Button Shoppe                                            PRINTABLE ORDER FORM 
  4744 Oakfield Circle, Carmichael, CA 95608
  PHONE: (888) 254-6078    FAX: (916) 488-5350    
   EMAIL:       buttons@buttonshoppe.com
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE (day):
PHONE (evening):
EMAIL:
ITEM #
DESCRIPTION
SIZE
COLOR
PRICE EACH
QUANTITY
SUBTOTAL
             
             
             
             
             
             
             
             
             
             
             
             
Merchandise Total:  
Shipping: $2.38 + 17¢ per ounce (Most orders weigh 2 oz.)
*Shipping outside the U.S. will be determined by weight and destination. 

$2.55
California residents add 7.25% sales tax:    

*Return within 10 days for merchandise credit.

 TOTAL:  

Thank you for your order!
Please include this portion with your order 
to purchase with a credit card.
CREDIT CARD INFORMATION (phone 888-254-6078 for immediate shipment)
NAME (as it appears on your credit card):
TYPE OF CARD (circle one):       VISA           Master Card              American Express   
CARD NUMBER:   
EXPIRATION DATE:                                CVC* (card verification code):
BILLING ADDRESS:
(If different from shipping address)

* CVC (card verification code) is the last three digits of the number on the back of your card
(on or above the signature area.) This number verifies that the person ordering possesses the credit card.