Bothfull Inc--Mail Order Form

To place a mail order: please print out this form and then fill it out clearly.

Last Name: _____________________  First Name: ___________________________

Address (line 1): _____________________________________________________

Address (line 2): _____________________________________________________

City:  ____________________________ State: __________  Zip Code:  ________________

Your contact phone # (in case we have questions about your order):  (          ) _________________                                     

If you would like to receive our future promotions, please provide your Email Address:  _______________________________

 

Item # or Product Descriptions

Unit Price

Qty

Total

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

 

 $

Merchandise Total: 

 $

Discounts (10% off if Merchandise Total is $50 or more):  

 - $

Grand Total:  

 $

Shipping & Handling: 

Free on all US orders**

CA residents please add 9.75% sales tax: 

 $

Total Due: 

 $

**Free shipping on USPS First Class mail or ground mail only.  For other shipping methods, or for orders shipping outside of the US, please email us for the shipping charges: mail@bothfull.com

Please make check payable to: Bothfull Inc.  And send your payment with this order form to: 

Bothfull Inc

P.O. Box 940

San Gabriel, CA 91778-0940