Pay by check

Northwest Gifts	or Call 1(877)Gifts-NW Toll Free
1270 Albion Lane #1	that number is 1-877-443-8769
Medford OR, 97501	(541)773-1385 in Oregon

Make checks payable to: Northwest Gifts

All checks must clear before orders are shipped

Please provide the following contact information: *needed (e-mail address is for order confirmation and/or communications)

*Name

*Street address

Address (cont.)

*City

*State/Province

*Zip/Postal code

*Country United States only at this time

Work Phone

*Home Phone

FAX

*E-mail

Shipping: Street address

Address

City

State

Zip/Postal code

Please provide the following ordering information:

QTY ITEM # COLOR

add Freight* call for freight price

Comments or special note:

*Name
*Street address
Address (cont.)
*City
*State/Province
*Zip/Postal code
*Country	United States only at this time
Work Phone
*Home Phone
FAX
*E-mail
Shipping: Street address
Address
City
State
Zip/Postal code

QTY	ITEM #	COLOR


	add Freight* call for freight price