Personalized Letter from Santa Order Form

This Order Form For Billing Customers Click On Banner above for Credit Card Orders

What Snacks Will be left out for Santa on Christmas Eve? Choose two or three from the list below Marshmallows Milk Hot Chocolate Cookies Juice Pop Egg Nogg Popcorn Chocolate Milk Chips Bananas Oranges Apples

Is there a chimney in your home? No Yes

Childs Name:
Address:
City: State: Zip:
Telephone:
Fax:
E-mail: What is Childs Email address?

Responsible Persons Name:
Address:
City: State: Zip:
Telephone:
Fax:
E-mail: What is Your Email address?

Payment Options Pay by Credit Card

Card: Card Number:

Expiration Date:

Pay by Check or Money Order Billed by GlobalTek for Security Please make check or money order payable to: GlobalTek 1127 W 18th Street PUEBLO CO 81003 PH: 719-586-9530

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