Mt. Healthy Toy & Promotions
Product Order/Inquiry Form

 
Customer Contact Information:
                                                Name:
                                                Street:
                                         City:     State:  Zip: 
 
E-mail:(* This is required so that we can contact you!)
Phone:-
 Preferred Contact Method: E-mail Phone

 
Product Request/Order Detail:
Item:
Item:
Item:
Item:
Item:
Item:
Item:

Payment Options and Shipping Charges:

Insured Shipping costs are included in the pricing of all items on our site. We ship via U.S. Priority mail.
We accept Master Card, Discover, American Express & Visa. Your personal checks are also welcome!
6.50% sales tax must be collected on all orders shipped to an Ohio address.

Online Payment Option:

Would you like to pay by Credit Card?

Yes**
No

If so, you can either call us at (419) 628-3405 to exchange card details or you can utilize our online server to submit your card information.

** If you answered "Yes", please complete the following information:

CC Type:
Visa
MasterCard
Discover
American Express

Cardholder's Name
Card Number
Card Expiration Date

 
Comments & Notes:

Mt. Healthy Toy & Promotions
05432 State Route 119
Minster, Ohio 45865
419-628-3405





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