[FrontPage Save Results Component]
Order Form
Instructions for using this form:
  • Fill in the contact information
  • Choose the colors, patterns, and fabrics for your order.
  • Click the Add to Cart Button corresponding to the item ordered.
  • Complete the Shipping information if different from contact information.
  • Click on View Cart to verify order and make payment. 
  • Return to order form and click the Submit Form button to send a copy of this form to Wee Noggins.

Please provide your contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
E-mail

SOLID -- Please Choose Fabric & Color

*Note: Sateen Colors are not available in pastel - shades are more vibrant 

Pillow Only QTY

 

COLOR

(Click on choice)

FABRIC

(Click on Choice)

 

Place Order

$9.00
Special Order

Fill in Special Order details in space below (Additional Instructions/Special Order) before hitting the Submit Order button. 

Pillow & Case QTY

 

COLOR

(Click on choice)

FABRIC

(Click on Choice)

Place Order

$12.00
Special Order

Fill in Special Order details in space below (Additional Instructions/Special Order) before hitting the Submit Order button. 

 Trim

Matched to Fabric

Case Only QTY

 

COLOR

(Click on choice)

FABRIC

(Click on Choice)

Place Order

$4.00
Special Order

Fill in Special Order details in space below (Additional Instructions/Special Order) before hitting the Submit Order button. 

 Trim

Matched to Fabric

 

PATTERN -- Please Choose Fabric & Pattern

Pillow Only QTY PATTERN

(Click on choice)

Place Order

 $12.00

Special Order

$14.00

Fill in Special Order details in space below (Additional Instructions/Special Order) before hitting the Submit Order button. 
Pillow & Case QTY PATTERN

(Click on choice)

Place Order

 $15.00

Special Order

$17.00

Fill in Special Order details in space below (Additional Instructions/Special Order) before hitting the Submit Order button. 

 Trim

Matched to Fabric
Case Only QTY PATTERN

(Click on choice)

Place Order

 $5.00

Special Order

$7.00

Fill in Special Order details in space below (Additional Instructions/Special Order) before hitting the Submit Order button. 

 Trim

Matched to Fabric

**For Special Orders: When I receive your order -- I will obtain the material that most closely matches your request and promptly send an email confirmation with a picture of the pattern to verify your order.  Please describe in detail the pattern you desire in your email to me.

Additional Instructions/Special Orders:

Orders may be filled by US Mail.  Simply PRINT this form, specify your choices in the Additional Instructions/Special Requests section, and send with Check or Money Order to: Wee Noggins; 12111 So. 29th Street, Bellevue, NE  68123

If Different from Contact SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
   

Tanja Donelson
Copyright © 2001 [Wee Noggins]. All rights reserved.
Revised: June 19, 2001