Please type your order information into fill boxes on this Order Form, then print form.

If paying with Credit Card, please fill in all Credit Card information accurately.

If paying by Check or Money Order, include it with your completed Order Form.

Mail your completed Order Form, along with Check or Money Order, if applicable, to:

With Joy, Inc.  -  P.O. Box 307  -  Arcadia, Oklahoma 73007

  ORDER FORM  
NAME OF ITEM QTY COLOR
PRICE EACH
ITEM
TOTAL

MERCHANDISE SUBTOTAL: 

 

SHIPPING AND HANDLING

Total Cost of Order
Standard
Priority
Express
Under $25.00
$5.95
$14.90
$20.90
$25.01 - $50.00
$7.95
$16.90
$22.90
$50.01 - $75.00
$10.50
$19.45
$25.45
$75.01 - $100.00
$12.50
$21.45
$27.45
$100.01 - $150.00
$14.95
$23.90
$29.90
$150.01 - $200.00
$16.95
$25.90
$31.90
$200.01 - $250.00
$18.50
$27.45
$33.45
Over $250.01
$19.95
$28.90
$34.90

 

Merchandise Subtotal:

Add Shipping and Handling:

Grand Total:


MasterCard   Visa   Discover   Check or Money Order Enclosed  
Credit Card Number (16 digits):  Security Code: 
Name As It Appears On Card:  Expiration Date (M/D/Y): 
Signature (Required): 

SHIP TO: BILL TO:  (Ordered By)
Name: Name:

Address:

Address:
City/State/Zip: City/State/Zip:
Weekday Phone Number: Weekday Phone Number:

Thank You For Your Order!