Native Circle

OFFLINE ORDER FORM

                                              PLEASE PRINT NEATLY!!
        Item(s) Ordered & Qty.__________________________
                                                __________________________
                                                __________________________
                                                __________________________
        Total Before Shipping ___________________________
        Total Shipping Cost _____________________________

        TOTAL PURCHASE PRICE:_____________________

        Name:_________________________________________
        Street/Road Address:_____________________________
        City, State & Zip:________________________________
        Phone#:________________________________________
        E-mail:_________________________________________

     Make checks/money orders payable to: Circle Studios

     Print out this order form, and fill it out with your order & shipping details.
        You may use the 'Back' button on your browser to check your order info.
          Then make a copy of the order for yourself, and mail the original with a
           check or money order for the TOTAL to the following address:
                                               Native Circle
                                               200 Medicine Way
                                               Eureka Springs, AR 72632
                         To order by phone, call: 866-444-0940
                      Or e-mail us at order@nativecircle.com