Mail in Order Form (Print
me)
DESIGN COLOR SIZE WHERE QUANTITY x $PRICE = $TOTAL
(fill in)______ _____ ____ _____ ______ x $_________ = $_________
______ _____ ____ _____ ______ x $_________ = $_________
______ _____ ____ _____ ______ x $_________ = $_________
______ _____ ____ _____ ______ x $_________ = $_________
______ _____ ____ _____ ______ x $_________ = $_________
______ _____ ____ _____ ______ x $_________ = $_________
______ _____ ____ _____ ______ x $_________ = $_________
______ _____ ____ _____ ______ x $_________ = $_________
______ _____ ____ _____ ______ x $_________ = $_________
SUBTOTAL $_________
SHIPPING $_________
(Please see Shipping Chart)
Wisconsin residents add 5.5% tax $_________
GRAND TOTAL $__________
FREE STICKER w/ EVERY ORDER
SOLD TO:
Name: _______________________________________
Address:_______________________________________
City: _______________________________________
State: ______ Zip code: _____________________
Daytime Phone: _______________________________
SHIP TO: (if different than Sold to)
Name: _______________________________________
Address:_______________________________________
City: _______________________________________
State: ______ Zip code: _____________________
GIFT?
Gift Message:_______________________________________________________
____Payment enclosed $_______________________
(Check or Money Order, Do Not Send Cash)
MAKE CHECKs PAYABLE TO: With Company
____Visa _________________ expire date_______
____ MC _________________ expire date_______
____AmEx _________________ expire date_______
Cardholders Name:______________________
Issuing bank:__________________________
DO NOT SEND CREDIT CARD INFORMATION OVER INSECURE INTERNET CONNECTIONS
Shipping Charges*
ORDER SUBTOTAL SHIPPING & HANDLING 2 DAY RUSH OVERNIGHT C.O.D.
$1-$9 $1.90 $9.75 $19.75 +$4.75
$10-$29 $4.90 $12.75 $22.75
$30-$49 $5.90 $13.75 $23.75
$50-$69 $7.90 $15.75 $25.75
$70-$89 $9.90 $17.75 cost
$90-$109 $11.90 $19.75 cost
$110-$149 $13.90 cost cost
$150-$199 $15.90 cost cost
$200+ cost cost cost
*Some parts of Alaska, Hawaii and Puerto Rico do not offer overnight shipment
*International orders may have different shipping rates
It's an ORDER!!! 
Send me a Printed Catalog, even if it is out-dated.e-mail
or mail us.
:
w/ Company Naked Planet
200 Franklin St.
Wausau, WI 54403