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Mail In Form

Your one stop source for Gifts, Fine Figurines, Collectibles, & Gift Baskets

Print this form to use when placing your order by mail

Information must match your issuing banks records when using a credit card.

Mail to: Katlyns Korner Gifts
1689 West Stardust Drive
Malabar, FL 32950

Phone (888) 712-7371

(1) Ship To: Name and Address	(2) Bill To:(If different from Ship To)
Name: ______________________	Name: ______________________
Address: ____________________	Address _____________________
City: _______________________	City: _______________________
State: ____ Zip: __________	State: ____ Zip: __________
Telephone: _________________	E-mail: _____________________ (For order confirmation)

(3) List of Items:

Item #:	Item Name:	Quantity:	Price Per Item:	Total:
__________	__________________________	___________	_____________	_____________
__________	__________________________	___________	_____________	_____________
__________	__________________________	___________	_____________	_____________
__________	__________________________	___________	_____________	_____________
__________	__________________________	___________	_____________	_____________
__________	__________________________	___________	_____________	_____________
__________	__________________________	___________	_____________	_____________
__________	__________________________	___________	_____________	_____________

Merchandise Total:$________________

Shipping (See Website for Shipping Cost) :$________________

(Orders will not be processed without correct shipping added)

FL Residents, Add 7.00 % Sales Tax :$_______________

TOTAL:$_______________

(4) Method of Payment:
___Certified Check or money order: payable to Katlyns Korner Gifts
(Please allow 10 days for personal checks to clear.)

___ Mastercard

___ Visa

Credit Card #_____________________________ Exp Date__________
3-Digit Card Code from back of card #_____
I certify that I am the card holder/bank account holder of the above referenced payment method. I authorize Katlyns Korner Gifts to charge the above amount to my payment method above. I agree to pay the above total amount according to card issuer agreement.

X___________________________________________ Date__________