Billing Address. Name:__________________________________________________
Address:______________________________________________________________
City:_________________________________State/Province:____________________
Zip/Postal Code:_______________________Country:__________________________
Phone*:________________________________________________________________
E-mail:________________________________________________________________
Add to E-mail list for sales and updates: __yes __no
* Phone number required for all international orders.
Shipping Address: __ check here if same as above. Name:______________________
Address:_______________________________________________________________
City:_________________________________State/Province:____________________
Zip/Postal Code:_______________________Country:__________________________
* Please note UPS can not ship to P.O. Box addresses
(will be sent via the USPS).
Method of Payment:
__ Check or Money Order Enclosed (make payable to The Puzzle House)
__ MasterCard __ Visa __ Discover __ American Express
Account Number:____________________________________________
Expiration Date: Month _______________ Year ___________________
Signature: __________________________________________________
Order:
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Puzzle Name:________________________________Quantity: ______ Price:______
Shipping:______
Total:______
Shipping Costs:
Continental USA: $9.99 first puzzle, .99 cents each additional puzzle.
International Orders: Due to the wide variation in shipping costs around
the world please call 1-603-924-1000, fax 603-924-1606 or E-mail us
indicating your country, and the puzzles you wish to purchase.
Mail Order To:
The Puzzle House
P.O. Box 616
Jaffrey, NH 03452
USA
Contact The Puzzle House: (save for your records)
Phone 1-877-924-6895
International 1-603-924-1000
Fax 1-603-924-1606
customerservice@puzzlehouse.com