Beanie Baby Grab Bag
Order Form

PLEASE TELL US YOUR :

Fullname:


Your Mailing Address:


Address Line 2:


City:


State:


Zip Code:


Phone #:


How old are you?
Under 18 years old
Between 19 and 24 years old
Between 25 and 34 years old
Between 35 and 44 years old
More than 45 years old

How often do you visit my page?
Every Day
Once per week
Once per month
Once per year

Email Address:


How many Grab Bags would you like to order?
1 for $7.49 2 for $14.98 3 for $22.47 4 for $29.96 5 for $37.45 6 for $44.94 7 for $52.43 8 for $59.92 9 for $67.41 10 for $74.90 11 for $82.39 12 for $89.88 13 for $97.37 14 for $104.86 15 for $112.35 16 for $119.84 17 for $127.33 18 for $134.82 19 for $142.31 20 for $149.80 21 for $157.29 22 for $164.78 23 for $172.27 24 for $179.76 25 for $187.25 26 for $194.74 27 for $202.23 28 for $209.72 29 for $217.21 30 for $224.70 31 for $232.19 32 for $239.68 33 for $247.17 34 for $254.66 35 for $262.15 36 for $269.64 37 for $277.13 38 for $284.62 39 for $292.11 40 for $299.60 41 for $307.09 42 for $314.58 43 for $322.07 44 for $329.56 45 for $337.05 46 for $344.54 47 for $352.03 48 for $359.52 49 for $367.01 50 for $374.50 55 for $411.95 60 for $449.40 65 for $486.85 70 for $524.30 75 for $561.75 80 for $599.20 85 for $636.65 90 for $674.10 95 for $711.55 100 for $749.00

Shipping Table
1-4 $3.00 5-9 $5.00 10-14 $7.00 15-20 $9.00 21-30 $11.00 31-40 $14.00 41-50 $17.00 51-65 $21.00 66-80 $25.00 81-100 $30.00

Please add the amount to the Shipping
And put the total here:


This is the Amount to Send on Your
Cashier's Check or Money Order.
(Personal Checks Held until clear)

Please tell us you additional comments here:


What Neighborhood do you think I should live in, based on my page content?
You are already in the right one Athens BourbonStreet Broadway CapeCanaveral CapitolHill Colosseum Heartland Hollywood HotSprings MotorCity NapaValley Paris RainForest RodeoDrive SoHo SiliconValley SunsetStrip TheTropics TimesSquare Tokyo Vienna WallStreet WestHollywood Yosemite




Please note: After clicking the submit button your order will be sent as an Email to the owner of this site. Follow instructions below after submission is complete.

Please send your Check or Money Order to:

Charles Bragdon
8 Weymouth St #6
Portland, Me 04102-2918

Now click the links to return to the Home page
you were viewing.
Click here to go back to the Text Home Page
Click here to go back to the Graphics Home Page