Order Form

To place an order please fill out this form and press the "send" button. (Or print out this form, fill it in and fax it to us at 210-342-0246.) Orders also may be forwarded to us via snail-mail at Le Petit Chateau, 2815 Briarfield Dr., San Antonio, TX 78230. Small orders will be shipped First Class or Airmail. Large orders will be shipped via UPS with a minimum charge of $5.00 and a maximum of $12.00, unless there are unusual circumstances (such as foreign orders). Credit cards will not be accessed until the time of shipment. Money orders are acceptable, but we are unable to accept C.O.D.'s. Personal checks must clear prior to shipment of the order. Please contact us at 210-342-8009 if you would prefer to give credit card information by phone.

Name:
Address:
City:		State:
Zip:
Phone Number:
Fax Number:
e-mail address:
Method of Payment:		Visa	Master Card
Card #:		Exp. Date:
Name on Card:

Item#

Qty

Description

Unit Price

Total

Subtotal
Shipping
Grand Total