Order Form

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Order Form

The Little Viking
(619) 232-7160
Seaport Village
817 West Harbor Drive
San Diego, CA 92101

info@thelittleviking.com

How did you hear about us? *

Let us know who you are: *

Billing Address

Your Name (First Last)* *

Company (if applicable)

Street Address *

(second line if needed)

City *

State *

Zip *

Country *

Home Phone *

Business Phone

Mobile Phone

Fax Number

E-Mail Address *

Please add me to your e-mail list. I want to be notified of new product offerings and special sales.

__________________________________________________________

Product Order Form

Qty *

Product Name *

Prod Nbr

Size

Price *

We will notify you of the total price including shipping, by e-mail.
Shipments within California, please add 7.75% sales tax to the total.

Shipping and handling charges for the Continental USA only is listed below. A hard-copy receipt is sent with all orders and include shipping/handling charges.

Domestic Shipping Charges
Order Total	Shipping Charge
up to $25.00	$6.95
$25.00-$50.00	$7.95
$50.01-$75	$10.95
$75.01-$100	$12.95
$100.01-$150	$14.95
$150.01-$200	$17.95
over $200	10% of order

The prices quoted are for the continental USA only.

International orders are accepted, but are assessed an additional fee depending on location.
All prices quoted on this site are in US dollars.

_________________________________________________________________

Shipping Address (Only complete if different from Billing Address above)

Your Name (First Last):

Company (if applicable)

Street Address

(second line if needed)

City:

State

Zip:

Country:

______________________________________________________________________

Credit Card Information

Credit Card: *

Credit Card Number (no spaces or dashes) *

Expiration Date:

Month: *

Year:

_______________________________________________________________
Signature (if printing this form to order by mail)

* Required to submit this form

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Last updated March 3, 2003