Mystic Unicorn Mail Order Form

If you wish to mail in your order and pay by money order or credit card, (we do not accept checks)
~ PRINT this page ~ and mail the completed form and payment to:

Mystic Unicorn
PO Box 620306
Las Vegas, NV 89162

Your Information:
                                    Shipping address if different than yours 
Name:___________________________	or to send a gift fill in below:
Address:________________________  	Name:__________________________________
City:___________________________	Address:_______________________________
State:____________Zip:__________	City:__________________________________
Phone:(_____)___________________ 	State:_______________Zip:______________
Email:__________________________	Phone:(_____)__________________________
(Note: Packages are shipped by UPS or Federal Express and must ship to a street address.)

Quantity    Item #	Description	Item Price	Total Price
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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                                      Merchandise Total: ____________
                  Nevada Residents add 7 3/4% Sales Tax: ____________
	                          Shipping and Handling: ____________  
	                                 Total Enclosed: ____________

CREDIT CARD - Visa, MasterCard, American Express, or Discover Card

    NUMBER__________________________________________________________________

    EXPIRATION DATE___________________________________CVC Code______________
	                                      (3 digit code on back of card)

    SIGNATURE_______________________________________________________________
	
USA Shipping and Handling Chart:

Total Order                             Add:
Up to $45.00                           $7.50
Over $45.00 up to $65.00               $8.50
Over $65.00 up to $85.00               $10.50
Over $85.00 up to $124.99              $12.50
Over $125.00 up                        Free Shipping

Alaska, Hawaii, Puerto Rico, APO/FPO and international orders pay actual shipping cost.

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