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					Choosey Diapers Order Form                       To Order:

Customer Information                              Call toll-free 1-888-422-2447 OR fax this order form to
                                                 1-573-443-2910. Our phone answering hours are 8:30 a.m.
 Name:                                           to 4:30 p.m. CST Monday through Friday. If you choose to
                                                 call any other time, please leave a message so we can return
 Address:                                        your call.
                                                  Send us your completed order form along with payment.
                                                  Most orders will have same day shipping or be shipped the
 Phone:                                          next business day after the order is received. Please allow an
                                                 additional 7 days for payments by check.
E-Mail:                                           You can also order on-line from our web site at
                                        We use a secure server
How did you hear about Choosey Diapers?          so you can shop with confidence.
                                                 Our Mailing List
                                                 Rest assured, when you share your address and phone
 Baby's                                          number with us, you are on our mailing list ONLY! We
 Gender:        Girl    Boy          Neutral     do not sell our list to other companies.

  Qty.       Item #    Color/Print                 Description                     Price Each       Total

Choose Method of Payment                                                      Subtotal
   Payment Enclosed     Amount:                Check #:                  MO Residents add
                                                                         5.225% Sales Tax
   Charge my Credit Card                                                 Shipping/Handling
           Visa                        Master Card                            TOTAL
           American Express            Discover
Card Number:                                   Exp.:                                Choosey Diapers
                                                                                    5251 Woodson Harris
Signature:                                                                          Columbia, MO 65201
Return Policy                                                          Shipping and Handling Table
When you receive your order, please try one of each item               0-$35               $5.50
first just to be sure you like it. We accept returns within            $36-$75             $8.50
60 days purchase on unused, unwashed items only. If you are            $76-$125            $10.50
not satisfied with an item, please send it back to us with a           $126-$249           $12.50
copy of your invoice and the original packaging. We will be            $250-$299           $15.00
happy to exchange the item or issue a refund for the                   $300+               Free Shipping!
purchase price.                                                        Gift Wrapping: Add $5/package

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