PuzzleHouse.com 2013 Order Form
Print and either fax or mail this order form to The Puzzle House.

Billing Address. Name:__________________________________________________
Address:______________________________________________________________
City:_________________________________State/Province:____________________
Zip/Postal Code:_______________________Country:__________________________
Phone*:________________________________________________________________
E-mail:________________________________________________________________
Add to E-mail list for sales and updates:
__yes     __no
* Phone number required for all international orders.

Shipping Address: __ check here if same as above. Name:______________________
Address:_______________________________________________________________
City:_________________________________State/Province:____________________
Zip/Postal Code:_______________________Country:__________________________
* Please note UPS can not ship to P.O. Box addresses (will be sent via the USPS).

Method of Payment:

__ Check or Money Order Enclosed (make payable to The Puzzle House)
__ MasterCard   __ Visa  __ Discover  __ American Express

Account Number:____________________________________________
Expiration Date:  Month _______________  Year ___________________

Signature: __________________________________________________

Order:

Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
Puzzle Name:________________________________Quantity: ______  Price:______
                                                                                                         
Shipping:______
                                                                                                                 Total:______

Shipping Costs:
Continental USA: $9.99 first puzzle, .99 cents each additional puzzle.
International Orders: Due to the wide variation in shipping costs around the world please call 1-603-924-1000, fax 603-924-1606 or E-mail us indicating your country, and the puzzles you wish to purchase.

Mail Order To:

The Puzzle House
P.O. Box 616
Jaffrey, NH 03452
USA

Contact The Puzzle House:
(save for your records)
Phone 1-877-924-6895
International 1-603-924-1000
Fax 1-603-924-1606

customerservice@puzzlehouse.com