Order Form
Phone: 1-404-634-9086
Mail: P.O. Box 451222
Atlanta, GA 31145
E-mail: info@thisoldtoy.com / Fax: 1-404-634-2853

pay online with Paypal
(orders@thisoldtoy.com)

Please print this page and include with your order.

Section 1

    Email Address:________________________________________________

    First Name:___________________Last Name:_______________________

    Street Address:________________________________________________

    P.O. Box or Suite/Lot Number:____________________________________

    City:__________________________________State:__________________

    Zip/Postal Code:____________________Country:____________________

    Telephone Number:_(____)_____________Fax Number:_(____)______________


Section 2

    Is the shipping address the same as the information above?

    Yes_____ or No_____

    If yes, skip this section and go to section number 3 below.
    If no, please enter the shipping address information below:

    First Name:___________________Last Name:_______________________

    Street Address:________________________________________________

    P.O. Box or Suite/Lot Number:____________________________________

    City:__________________________________State:__________________

    Zip/Postal Code:____________________Country:____________________

    Telephone Number:_(____)_____________Fax Number:_(____)______________


Section 3

    Items or Services you are ordering:

    Part Number:___________ Description:_________________________
    Quantity:________Price Each:$___________Total Price:$___________

    Part Number:___________ Description:_________________________
    Quantity:________Price Each:$___________Total Price:$___________

    Part Number:___________ Description:_________________________
    Quantity:________Price Each:$___________Total Price:$___________

    Part Number:___________ Description:_________________________
    Quantity:________Price Each:$___________Total Price:$___________

    $__________Subtotal
    $__________Sales Tax (GA residents ONLY include 8.5% sales tax)
    $__________Shipping & Handling Charges - See your quote
    Canadian & Overseas customers: inquire about shipping costs before ordering

    Specify Standard, Priority, Overnight, or Other (circle one)
    $__________Insurance (USA: $3.00 per $100.00 of merchandise)
    $__________Insurance (Canada: $4.00 per $100.00 of merchandise)
    $__________Insurance (All except USA or Canada: $5.00 per $100.00 of merchandise)
    $__________Payment Total

Section 4

    Please make all payments out to THIS OLD TOY:

    Payment by Money Order will insure that your order is shipped immediately. Please allow 2-3 weeks for a personal check to clear.
    Canadian and Overseas Buyers: payment must be made to us in US Funds, and drawn on a US Bank. This means that Postal Money Orders from Canada or Overseas do NOT qualify, since the funds are not DRAWN from a US Bank.
    Please do NOT send cash to us!

    Personal Check: #___________________
    Money Order: #_____________________
    Other (specify method):__________________________________

Section 5

    Thank you for your order! Please double-check all of your entries for completeness and correctness! We will notify you via email (if possible) when we receive and ship your merchandise.


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