Order Form If Paying By Money Order
(You can also use it to pay by credit card if you prefer not
to use our secure online Shopping Cart feature.)
Please use the Print button on your browser to print out this form.
Fill out the form and mail it with your payment to:
Pandora's Puzzle
Boxes
15590 Poverty Pond Road
Grass Valley, CA 95945
USA
Please make money order (in US$) payable to Agate Road. (Sorry, but we cannot accept personal checks.)
In most cases, your puzzle boxes will be shipped within 1 business day of receiving your order.
We will notify you by e-mail (if you include your e-mail
address) when we have shipped it.
| Sold To: | Ship To (If different from "Sold To"): | |
| Name | ||
| Address | ||
| City | ||
| State/Province | ||
| Zip/Postal Code | ||
| Country | ||
| Phone Number | ||
| E-mail address |
| Puzzle Box | Price | Qty | Total | Puzzle Box | Price | Qty | Total |
| Pair of Cats | $30 | Snake (Vietnamese) | $30 | ||||
| Turtle | $28 | Heart (Vietnamese) | $29 | ||||
| Frog | $35 | Double Heart #1 (Vietnamese) | $35 | ||||
| Butterfly | $29 | Double Heart #2 (Vietnamese) | $35 | ||||
| Yin/Yang | $23 | Butterfly (Vietnamese) | $35 | ||||
| Sailboat | $42 | Dragon (Vietnamese) | $49 | ||||
| Heart (Costa Rican) | $29 | Elephant #1 (Vietnamese) | $35 | ||||
| Violin | $35 | Elephant #2 (Vietnamese) | $35 | ||||
| Macaw | $35 | ||||||
| Angel | $29 | Secret House Puzzle Box | $89 | ||||
| Piano | $28 | Cube 18 Move | $120 | ||||
| Cuddly Cats | $25 | Mame 14 Move | $39 | ||||
| Guitar | $29 | 2 Sun 7 Move | $29 | ||||
| Panda | $32 | 2 Sun 10 Move (Kirichigai) | $39 | ||||
| Horse | $24 | 2 Sun 10 Move (Kuroasa) | $39 | ||||
| Killer Whale | $30 | 2 Sun 10 Move (Akaasa) | $39 | ||||
| Lion | $29 | 2 Sun 10 Move (Mawariyabane) | $39 | ||||
| Horse Head | $36 | 2 Sun 10 Move (Ichimatsu) | $39 | ||||
| Apple | $31 | 3 Sun 12 Move | $49 | ||||
| Monkey | $29 | 4 Move Jewelry Box | $75 | ||||
| Moon | $26 | 4 Sun 14 Move | $59 | ||||
| Cat Face | $26 | 4 Sun 21 Move | $75 | ||||
| Treble Clef | $33 | 4 Sun 27 Move (Akaasa) | $120 | ||||
| Parrot | $35 | 4 Sun 27 Move (Kuroasa) | $120 | ||||
| Star | $28 | 4 Sun 27 Move (Yaeasa) | $120 | ||||
| Rabbit | $25 | 4 Sun 27 Move (Sansui Akaasa) | $185 | ||||
| Cat | $45 | 4 Sun 27 Move (Sansui Kuroasa) | $185 | ||||
| Turkish/Walnut | $79 | Pentagon 6 Move | $95 | ||||
| Turkish/Juniper | $79 | Hexagonal 6 Move | $99 | ||||
| Turkish/Walnut/Eagle Lid | $79 | 5 Sun 21 Move | $120 | ||||
| Turkish/Juniper/Eagle Lid | $79 | 5 Sun 10 Move with Sound Drawer | $125 | ||||
| Turkish/Walnut/Dragon Lid | $89 | 5 Sun 14 Move (Double) | $125 | ||||
| Turkish/Juniper/Dragon Lid | $89 | 5 Sun 27 Move | $125 | ||||
| India
Puzzle Box (Lid A B C) |
$45 | 5 Sun 36 Move | $185 | ||||
| Moroccan
Puzzle Box (sm med lge) |
$39 $59 $79 |
6 Sun 54 Move | $450 | ||||
| Round Moroccan Thuya Wood Box | $15 | Polish /Square | $39 | ||||
| Polish / Sun | $79 | Polish / Rectangle | $45 | ||||
| Polish / Celestial | $79 | Polish / Compass | $45 | ||||
| Polish / Egyptian | $45 | Polish / Pirate | $45 | ||||
| Polish / Butterfly | $69 | Polish / Heart | $29 | ||||
| Polish / Elegance | $45 | Polish / Cat | $45 | ||||
| Polish / Black Cat | $45 | Polish / Floral | $39 | ||||
| Polish / White Cat | $45 | ||||||
| Subtotal = | |||||||
| California Residents Please Add 7.375% Sales Tax = | |||||||
| Add Shipping to U.S. ($7) = | |||||||
| - or - Shipping to Canada ($12) = | |||||||
| - or- Shipping to Other Countries ($22) = | |||||||
| Grand Total = | |||||||
Please make money order (in US$) payable to Agate Road and mail to:
Pandora's Puzzle
Boxes
15590 Poverty Pond Road
Grass Valley, CA 95945
USA
You can also use this form if you want to pay by credit card.
Please fill out the following information:
| Type of card: | __Visa | __MasterCard | __American Express | __Discover |
| Card Number: | __________________________ | |||
| Expiration Date: | ______________ | |||
| Signature: | __________________________ | |||