This form can not be sent by email but is given so you can PRINT this form and MAIL it to -


O'gosh Buttons
Kathy Hoppe 2411 Doty St.
Oshkosh WI. 54902
Or Call: (920) 231-6477
Or Fax to:  (920) 231-6416


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Shipping Information

  • Name: _________________________________________

  • Street Address: ___________________________________

  • Shipping address if different than above: ___________________________________

  • City: _______________________________________

  • State/Province: ___________________________

  • Country: ______________

  • Zip Code/Postal Code: _____________________

  • E-mail address: ____________________________


    Type of Credit Card

    _________ Visa
    _________ Mastercard

  • Card number: ___________________________________

  • Expiration date: ____________

  • City: _____________________________

  • State/Province: ____________________

  • Country: ____________

  • Zip Code/Postal Code: ____________

  • Telephone Number: _______________

    Items To Be Shipped

       Qty:                Item #                       Description:                               Size-Color:               Price:

       

    ________      _________      ___________________________      ______________      __________    

    ________      _________      ___________________________      ______________      __________    

    ________      _________      ___________________________      ______________      __________    

    ________      _________      ___________________________      ______________      __________    

    ________      _________      ___________________________      ______________      __________    

    ________      _________      ___________________________      ______________      __________    

    ________      _________      ___________________________      ______________      __________    

    ________      _________      ___________________________      ______________      __________    

    ________      _________      ___________________________      ______________      __________




    Shipping Cost For U.S. Addresses.
    (Orders shipped US Postal Service.)
    Shipping and Insurance charges are the responsibility of the buyer.

    • up to $75.00 = $2.50

    • $75.01 to $125.00 = $3.00

    • $125.01 to $165.00 = $3.50

    • $165.01 to $200.00 = $4.00

    • $200.01 to $250.00 = $4.50

    • $250.01 to $300.00 = $5.50

    • $300.01 to $375.00 = $6.50

    • $375.01 to $425.00 = $8.75

    • $425.01 to $475.00 = $9.75

    • $475.01 to $525.00 = $10.75

    • $525.01 or more = $12.50

      NOTE: All oversized and overweight items require additional charges.



    Shipping cost: ___________________

    Shipping cost for outside the U.S.A. will be quoted in order conformation.

    Sales Tax: 5.00% for Wisconsin residents only.

    Tax (if applicable): __________________

    Order Total: _______________________



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