Joined at the Hip Printable Order Form
 Print this form for easy mail order. Complete your order, send along with your check, money order or credit card information to:

Joined at the Hip
565 5th ST SW
Britt, IA 50423
info@joinedatthehip.com
QTY ITEM # and NAME PRICE TOTALS
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 

        Iowa residents please add 8% sales tax -                         

Shipping Rates
$0 - $16--$5.00
$16.01 - $30.00--$7.00
$30.01 - $50.00--$9.00
$50.01 and over--$12.00
Shipping & Handling  
TOTAL ORDER  
CREDIT CARD INFORMATION
Name on Card -
Card Number -
Exp.date                     Circle One: VISA    M/C   
CUSTOMER INFORMATION
Customer Name
Address
City                                                           State                      Zip Code
Home Phone #                                Work Phone #                                    Email Address

All sales are final