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Mail Order Form

Please fill out this form and mail to The Wildebeest Company, PO Box 3, Newton, KS, 67114.

Billing address:
We will send you an email back (or call you if no email address is available)
withyour total including shipping and handling. But first, we need some
information so we can determine the cheapest route of shipping.


Buyer's Name:_________________________________________________________________

E-mail address:_______________________________________________________________

Shipping address line 1:______________________________________________________

Shipping address line 2 (opt.):_______________________________________________

City:_________________________________ State:__________ Zip code;_____________

Country:______________________________________________________________________

Day telephone number:_________________________________________________________

Evening telephone number: ____________________________________________________

Item: Beans: The Bean Hole Game (TM)   Quantity: 1 (If more, please attach a
                                       minimum 250 word essay about why we
                                       should send you more than one.)


Mailing address
These fields only need to be completed if mailing address differs from billing.

Recipient's Name:_____________________________________________________________

Shipping address line 1:______________________________________________________

Shipping address line 2 (opt.):_______________________________________________

City:_________________________________ State:__________ Zip code;_____________

Country:______________________________________________________________________


Comments/questions:___________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Please allow 6-8 weeks for shipment. All games are handcrafted with care!
We reserve the right to refuse service to anyone. We also accept Paypal.