Mail Orders to: TheRestlessMouse.com, P.O. Box 3022, Arlington, WA 98223
   .. Or call your order in, toll free 800-948-5785

FIRST NAME:     LAST NAME:

 SHIPPING ADDRESS :

CITY :  STATE :  ZIP:

PHONE #:  FAX#:  EMAIL:

Phone/Fax/Email not all required, we just need some way to contact you.
We do not send unsolicited email nor do we share your information.
We are not responsible for payment lost in mail.
We do not have a paper catalog fit for human consumption yet. Give us time.

QUANTITY:

ITEM #:

DESCRIPTION:

PRICE EACH:

EXTENDED AMOUNT:
         
         
         
         
         
         
         
         
         
         
         
         
         

SPECIAL M.O. RATE Regular shipping ONLY $2.00
(FREE if merchandise totals $33.00 or more, in that case cross it out!)  

$2.00

PLEASE RUSH- I am adding another $2 for fast Priority Mail shipping
  

Taxable Subtotal   >

 

Washington State Destinations, please add 7% SALES TAX*  
(* We will pay the difference if it's more)

Grand Total   >

 

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