Print and Mail or Fax (866) 863-5503 to:

Custom Doll House

Attention: New Sales

13196 County Road #701

Buna TX, 77612

Name: Phone:
 

Shipping Address:

Email:
(No P.O. Boxes) (Please provide a valid email address)

 

QTY

Item # Description Price Total
         
         
         
         
         
         
         
         
         
         
         
         
         
         

Credit Card ___    Check ___    Money Order ___

All fields are required to process your credit card

Note: Amex has a 4 digit code on the front of the card

Card Type: ____________________________________
Card Number: ____________________________________
Expiration Date: ____________________________________
3 or 4 Digit Code: ____________________________________

Email Address: ____________________________________
Billing Address: ____________________________________
Billing Phone: ____________________________________

Sub Total

($50 Minimum)

 

+ Sales Tax

(Florida add 7%)

 

+ Shipping

(See Table Below)

 
 

Total

 
 

- Gift Certificate

 
 

Amount Enclosed

 

 

Shipping Table

$.01 - $49.99 $7.95
$50.00 - $99.99 $14.95
$100.00 - $149.99 $16.95
Over $150 Free

 

Note: If using a gift certificate, they must be redeemed for their full value.  They cannot be broken down into several small purchases.

Thank you for your order! If you have any questions, please don't hesitate to contact us.

Phone (409) 790-0261 or email service@customdollhouse.com