Printable Order Form

Loving Comfort Diaper Company Order Form Loving Comfort FOR ALL YOUR DIAPERING NEEDS. -------------------------------- Call 1-717-308-0662 To order by mail, please print this form, fill it out and mail it to us.

Ordered By Date:	Ship To (if other than ordered by)
Address (No P.O. Boxes please)	Address (No P.O. Boxes please)
E-mail: _______________________________ Name: _______________________________ Street: ________________________________ City: _________________________________ State: ________________________________ Zip: __________________________________ Phone ( )	Name: ________________________________ Street: ________________________________ City: _________________________________ State: _________________________________ Zip: _________________________________ Phone ( )

Item#	Qty.	Description	Price Each	Total






			Sub Total
Shipping Rates, Click Here. Please select a shipping method: US Mail US Mail Exp UPS Grd UPS 3 Day UPS 2 Day UPS air			Shipping Cost
LCDC will not be responsible for customs fees, taxes or tariffs. Sorry, we do not accept COD's. Packages are shipped via U.S. Mail or UPS. For international orders, the customer accepts all risks. LCDC retains the right to reject any orders.			Grand Total

PAYMENT INFORMATION:
Select Payment Method:
___American Express ___Mastercard
___Visa ___Check ___Money Order
Please print charge card# and expiration date clearly
Card #: _______________________________________
Expiration Date: ________________________________
Cardholder's
Signature: ____________________________________

PAYMENT VIA CHECK OR MONEY ORDER: U.S. CURRENCY ONLY MAIL ORDER TO: LCDC P.O. BOX 7564 York, Pennsylvania 17404 MAKE PAYMENT TO: LOVING COMFORT DIAPER COMPANY CHECK ORDERS WILL BE HELD FOR 4 WEEKS

Thank you for ordering from Loving Comfort.

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