The Hen's Tooth Printable Order Form

Mail/Fax Order Form

Please print this easy-to-use order form and fill it out completely. Then fax or mail it to my chicks at The Hen's Tooth and they'll mail your order to you within 24 hours!
Scarlet O'Henna
FAX: 541-548-1019 ~ MAIL: The Hen's Tooth, PO Box 760, Redmond OR 97756

Ordered By:

First Name: ____________________ Last Name: __________________

Address: ___________________________________________________

City: _______________________________ State: ________ Zip: ______

Phone: (______) ________________________

Ship To:

First Name: _________________________ Last Name: _______________

Address: ____________________________________________________

City: _______________________________ State: ________ Zip: _______

Phone: (______) ________________________

Gift Message? Here's my gift message: _____________________________

____________________________________________________________

Order Information:

Item Code	Item Name	Qty	Price	Total
______________	__________________________________	___	_________	_________
______________	___________________________________	___	_________	_________
______________	___________________________________	___	_________	_________
______________	___________________________________	___	_________	_________
______________	___________________________________	___	_________	_________

Merchandise Total	_________
Shipping & Handling (see below)	_________
TOTAL	_________

Payment Type: U.S. Funds only. Sorry no COD's.

_____ Visa _____ MasterCard _____ Discover _____ American Express

Card Number     : __________________________________
Name on Card   : __________________________________
Expiration Date : __ __/__ __CVV#_____ (on back of card)
Shipping Information:   Shipping charges added using weight charts from UPS, USPS.
Please email Scarlet@henstooth.com for shipping charges for your order or you may wish to
Call TOLL FREE: 1-888-548-1349