AllHeartKids.com Fax / Mail Order Form

Complete Form and Fax or Mail to:
AllHeartKids.com
PO Box 6810
Vernon Hills, IL. 60061-6810
fax: (800) 323-2329

Bill To:			Ship To:
Name:			Name:
Address:			Address:
City:	State:	Zip:	City:	State:	Zip:
Phone:			Phone:
e-mail address (needed for order/shipping confirmation):

item #	color	size	qty.	item description	price each	total price






Satisfaction Guaranteed! Wear our merchandise for 30 days and if you are not completely satisfied, return it for a full refund.				Shipping & Handling (see chart below):
				Order Subtotal:
				Sales Tax - California Residents Add 7.25%: Illinois Residents Add 7.00%: Ohio Residents Add 6.75%:
Gift Certificate Number: Subtract Gift Cert. Value:
Internal Code: kidsfax or kids mail Your Order Total Due:

Shipping Method (check one) __ U.S.A. __ International
U.S.A. Order Amount $0.00 to $14.99 = $15.00 to $25.99 = $26.00 to $49.99 = $50.00 to $74.99 = $75.00 to $99.99 = $100.00 to $199.99 = $200.00 to $499.99 = $500.00 to 749.99 = $750.00 to 999.99 = $1000.00 to 1999.99 = $2000.00 to 2999.99 = $3000.00 to 3999.99 = $4000.00 to 4999.99 = $5000.00 & up =	U.S.A. Shipping Cost* $6.99 $7.99 $9.99 $11.99 $12.99 $14.99 $17.99 $19.99 $29.99 $59.99 $99.99 $139.99 $179.99 $249.99 *In addition, a $.50 per order fuel charge will be applied. This has been necessitated due to the continuing escalation of fuel prices.	Intl. Order Amount $0.00 to $14.99 = $15.00 to $49.99 = $50.00 to $99.99 = $100.00 to $149.99 = $150.00 to $199.99 = $200.00 to $349.99 = $350.00 to $499.99 = $500.00 to $999.99 = $1000.00 up =	Intl. Shipping Cost* $22.49 (+ $10 per item) $31.49 (+ $10 per item) $34.49 (+ $10 per item) $41.49 (+ $10 per item) $45.49 (+ $10 per item) $61.49 (+ $10 per item) $68.49 (+ $10 per item) $75.49 (+ $10 per item) $96.49 *In addition, a $.50 per order fuel charge will be applied. This has been necessitated due to the continuing escalation of fuel prices.