MIGIMA ORDER FORM


For your convenience we have provided a printable order form as an alternative to the online ordering process. Simply print, fill out, and mail or fax this form to:

Migima, LLC
3352 NW Starview Drive
Bend, Oregon 97703  USA

ph: 541.389.4098
fax: 541.389.4099

Name
Organization/Agency
Address
City
State
Zip
Country
Email Address
Phone
Fax
Visa/MasterCard
Expiration

Item #
Quantity
Price
Description*
Total
         
         
         
         
         
         
         
         
         
     
Subtotal
 
     
Postage/Handling**
 
     
Total
 

  Please send me information on training and consulting.

* Be sure to indicate the skin color of the dolls you order, the language of the book, and other options.

** Postage/Handling for shipping within US. Contact Migima for international rates.

Total Cost of Order
Postage
$0 - $20.00
$4.95
$20.01 - $40.00
$6.95
$40.01 - $75.00
$9.95
$75.01 - $150.00
$16.95
$150.01 - $499.00
$20.95
$500.00 - $900.00
$45.00