Hometime Web Site Order Form
Mail Orders to: Hometime, 4355 Peavey Rd., Chaska, MN 55318

(For Mail Orders -Print this Form and Fill Out)

Item # Qty. Description Price Total

 

       
         
         
         
         
         
Total Qty.
  --------------------------------------->
Merchandise Total
 
Handling Charges
 
x
$.99 *
Shipping Charge
$5.70 **
Handling Charges
 
SubTotal
 
* All items require a $0.99 handling fee. Select items will require additional fees due to larger size and/or weight. Refer to the individual product descriptions for the correct fees.
** When using Alaskan/Hawaiian or Canadian Standard, please note the shipping charge is $6.50 and the handling charges are $1.99 per item.
MN Res. Add 6.5% Tax  
Total
 

Method of Payment: Place an "X" in the Appropriate Box Below
Check or money order payable to Hometime
Visa
MasterCard
Discover
American Express
Account #:
Exp. Date:
Signature:
*CCV#:
* The CCV Identification# on your Visa, MC, or Discover is the last 3 digits on the backside of your card. American Express is the 4 digits on the front, in the upper righthand corner.
Note: Your credit card is charged only after your merchandise has shipped. Allow 10-14 days U.S./14-21 days Canada (Standard delivery ONLY for fax and mail orders). Offers are subject to change. All prices are U.S. funds.

Your Address:

Name:

Street Address:
City:
State: Zip Code:
Daytime Phone:
E-mail:

To Ship to Another Address, Please Enter it Here:
Name:
Street Address:
City:
State: Zip Code:
Daytime Phone:

View Hometime Shipping Rates/Schedule