Neighborhood Values Reserve Order Form

Please fill out the form below
When we receive your reserve notice we will hold Item(s) for 10 days & email you back with instructions
on where to send your payment.
Payments can be made by Check, Money Order, or if you are daring, Cash.  We also accept Visa & Master card using PayPal.
 (It's a free service!)
For International Orders  Please email for shipping costs.
All prices are in US dollars. 
 

Click on one of the two buttons below

              Reserve Item(s) Inquiry

                                                        Items you wish to Reserve
                    
                 Item code                              Name of product                                      Price                      Shipping

Item # 1: Name: Price:   Ship:  

Item # 2: Name: Price:   Ship:  

Item # 3: Name: Price:   Ship:  

Item # 4: Name: Price:   Ship:  

Item # 5: Name: Price:   Ship:  

Item # 6: Name: Price:   Ship:  

  Please check for shipping

   Priority mail
   Parcel Post
   Media Mail
   UPS
   Insured
   Other -  Please Specify 

  How would you like to pay?

   Check 
   Money Order
   Cash
   PayPal  
   Email address you use for PayPal  

         

   Please enter any comments or directions in the space provided below:

 

         Name:             
         E-mail:            
         Telephone:     

 

                                                                Shipping info

         Name:            
         Address:         
         City:                 
         State:              
        Zip Code:        

      When we receive this form we will send you a e-mail in a day or so with total cost and instructions
      on where to send your payment.  We offer shipping discounts on orders with more than one item. 
      

     Thanks for your order



Please press the "Submit Request" button only once.
It may take a few moments for your request to go through.
Pressing the button more than once may cause multiple submissions.


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