Secure Order Form



NOTE: BEFORE YOU FILL OUT THIS ORDER FORM,
please jot down a list of titles and prices of ALL your selections. Only fill out this form after you have finished shopping. If you leave this page then return, information previously entered will be lost. After you fill out this order form, click "submit" at bottom to send completed form to me. Thanks!

Prefer to order by phone?
Just call Alan TheEggMan at
(407) 352-3654


This website accepts Visa,
MasterCard, and Discover.

Whether you order by phone or use my online order form, I offer the following options:

* I can ship directly to your gift recipient
* I will print your own message on a gift enclosure card
* I will personalize your eggs or eggstands with names, dates, whatever
* I can attach a hanger to turn any egg into a hanging ornament

Just fill in the pertinent info on order form below! 


Enter title(s) of egg(s) you wish to order
 in boxes (1) thru (6) below.
 
YOUR EGG 
SELECTIONS
 
To remove an item, highlight title below and hit "delete" on your keyboard.
Use "reset" button at bottom of page to clear entire form and start over.
Assume only one of each design is available, or Click here to email me
to inquire about quantities.

Title 1:price:

Title 2:price:

Title 3:price:

Title 4:price:

Title 5:price:

Title 6:price:

To order more than six items, type "see email" in one of the boxes above. Then fill out the remainder of this form, and send me a separate email with your name, and a list of the TITLES and PRICES you wish to order. I will match the list with the secure credit card information on this form.

Personalization



Hanger

If you wish your egg personalized, click in the box below and enter information you wish written on egg (up to 10 words on egg) or wood eggstand (6 or 8 words on eggstand)

Please note, personalization on egg is not appropriate where design continues around back of egg. I will contact you if this is the case.
Please specify if you want personalization on the egg or on the wood eggstand.
You may type any other comments in the box below. No limit on space.


Also, indicate above if any egg is to be made into hanging ornament (no charge). This means I'll screw a small brass hookeye into the top of the egg (see photo at left).
Not sure if they'll want to hang it? Just tell me so above, and I'll enclose a hookeye with simple instructions for attaching!

See separate box below for entering Gift Enclosure Card information.

GIFT ENCLOSURE CARD If your egg is a gift, click in box below and enter exact message you wish printed on enclosure card. Don't forget to enter here how you want your name to appear on the card. (e.g. "Love, Aunt Rose and Uncle Mark")

YOUR NAME

 First nameLast name

YOUR MAILING ADDRESS 

Prices shown on my website include shipping to the continental U.S.

(NOTE: FOR SHIPMENTS to CANADA or GREAT BRITAIN, an additional $5.00 will be added per egg for shipping and handling. For other countries outside the U.S., I will notify you of additional shipping charges before shipping.)

Please fill in your MAILING ADDRESS. Your order will be shipped to this address. If you wish your order to be shipped to another address, you will be able to enter that information in a later section.

your street address (number and street)

apt

city,

state

zip

YOUR BILLING ADDRESS

Is your BILLING ADDRESS (where you receive your credit card statements) the same as your mailing address?
Type Yes or No

If you typed YES, please go on to next section, Your Email Address.

If you typed NO, please enter BILLING ADDRESS below:

your street address (number and street)

apt

city,

state

zip

YOUR E-Mail ADDRESS:

 (example: johndoe@aol.com)

Please re-enter your email address below:

SHIP TO GIFT RECIPIENT?

Fill in this section if order is to be shipped to a name and address other than your own.

Prices shown on my website include shipping to the continental U.S.

(NOTE: FOR SHIPMENTS to CANADA or GREAT BRITAIN, an additional $5.00 will be added per egg for shipping and handling. For other countries outside the U.S., I will notify you of additional shipping charges before shipping.)

Is this a Gift to be mailed directly to recipient other than yourself??

Type Yes or No . If NO, go on to Credit Card section below.

If Yes, enter name to whom item(s) will be shipped

gift recipient's street address (number and street)

gift recipient's apartment #

gift recipient's city,

gift recipient's state

gift recipient's zip

CREDIT
CARD

I'm sorry, I no longer accept checks or money orders. If you do not wish to enter your credit card here, fill out rest of form, put your phone number INSTEAD of card number, and I'll phone you, or you may phone me (407) 352-3654.		 
CREDIT CARDS ACCEPTED: 

Card Type: 
Card Number (please type numbers and spaces just as they appear
on your card):

Card Expiration:
   
Name of Cardholder as it appears on card:
 
Cardholder's residence phone:
area code:number: 
You will receive a confirmation of your order via email,
summarizing charges and total.  Orders are usually shipped
within 2 business days after you send order.
YOUR PURCHASING HISTORY 
Have your purchased from my website before?
Please type yes or no
Do you currently receive email newsletters from me 
about product updates and shows?
If you typed "no" above,
how did you hear about my website?
(surfing the web, saw a Google ad, my printed materials, 
saw at art show, word of mouth, etc)
THANK YOU! 
THANKS FOR YOUR ORDER! YOUR SATISFACTION IS GUARANTEED!

Your order is not complete until you:

You will receive a confirmation email in 2 days or less.
If you do not receive a confirmation email in 2 days or less,
please inquire by email as to the status of your order.
(You will find a link to EMAIL ME on the Menu Page.)