Kindershop Order Form
Submit a completed form by E-Mail, or fax a completed printed form to 719.623.9913
Mailing Address: 2442 Gunnison St., Colorado Springs, CO 80909

Privacy Policy Conditions of Sales

Customer Information :

First Name :	Surname :
Address :	Apt. # :
City :	State :	Zip :
Country :	Phone :
Email :	Catalog	*Please mark for Catalog mailing*

Order:

Item No	Description	Qty.	Color	Item Price	Total




	Gift Wrapping :			Subtotal
	Shipping charges			Shipping
	Please note that shipping for some Special Order Items based on their size or weigh will be higher.			Total :

Credit Cards:
American Express Discover Card

Account Number:

Expiration Date:

If you would like to pay via personal check or money order, please drop us a line kinder@jtp.com

Print: (For Faxed Forms only)

Name :
Signature :

Survey:
Please choose the entry from the following list which tells us where you learned of our company:

Special Instructions:
(If you would like us to mail the order to a different address than your own please note here)

If you have any comment, requests or questions, please e-mail,