Direct Order Form

To Order Direct from Dream Green please complete the following form.
Please remember that our original items are available from many stores and catalogs.
Thank you.

BILL TO ADDRESS
FULL NAME
E-MAIL:
POSTAL ADDRESS:
CITY:
STATE
ZIP / POSTCODE:
COUNTRY:
PHONE:
FAX:

SHIP TO ADDRESS If same as billing address
FULL NAME
E-MAIL:
POSTAL ADDRESS:
CITY:
ZIP / POSTCODE:
STATE:
COUNTRY:
PHONE:
FAX:

METHOD OF PAYMENT
CHECK
MASTER CARD
VISA CARD
CARD NO.
EXPIRY DATE


ITEM	PRICE	QUANTITY
G8 Game Timer	$25.00
1-2-3 OY! (4 color)	$ 10.00
1-2-3 OY! (2 color x 2)	$ 10.00
Mancala / Uthini?	$ 29.95
A-B-C OY!	$ 10.00
Flocks	$ 4.95
Tic Tac Chec	$ 16.95
Noble Celts	$ 49.95
Neuro Bender (with Clock)	$ 9.95
Neuro Bender (No Clock) If you want multiple items and different colors please specify in the comments box below.	$ 6.00
Pardon (planes)	$ 16.95


US Shipping Rates
$0.01 USD - $10.00 USD	$5.25
$10.01 USD - $19.99 USD	$6.00
$20.00 USD - $74.99 USD	$6.75
$75.00 USD - $199.99 USD	$10.50

Shipping costs outside of the US will be calculated and e-mailed to you and you will need to reply and confirm your acceptance before we ship unless you indicate below that you accept the minimum non-US Priority Mail rates. For single items like the G8 Gametimer it is US$12.50.
If you have any preferences or urgency please indicate this below or call us in the US at 1-888 GET GAME ( 1-888 438 4263 ). Thank you.

Please enter any coupon codes here. If an item like the G8 is shipped to a non US address please indicate that you accept the minimum shipping charge of $12.50.

Please if you do not want to send credit card details
via Internet. Print out this form and fax it to us @ US (304) 723 4559