533 My Farm Adventure

Marclese Creations

P.O. Box 445
Islip, New York 11751-0445

If you need to contact us.......

Phone: 631-277-7338

Please E-Mail us with any questions or comments.


We are trying to make ordering as easy as possible. There are several ways to use this form:
1) Print it out, fill it out, mail/fax with your payment.
2) Fill it out, print it out, mail/fax with your payment.
3) Fill it out, hit 'send' this will e-mail the form to us.(do not fill out the credit card information! We will call you for it!)
Delivery time is approximately 2 weeks for credit card orders, 3-4 weeks for check orders. New York deliveries must pay sales tax.


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Your Information:
First Name: 
Last Name:  
Your E-Mail:
Street:     
City:       
State:       Zip:



Your Phone numbers(To be used only if we have questions): Day: Extension: Evening: Best Time:


Shipping address if different than above: Name: Street: City: State: Zip:


Payment Type: Visa | MasterCard | American Express | Discover | Check Enclosed Card Number: Expiration: CVV Number What is a CVV Number?

Please enter any discount codes in the box below


Signature if mailing:______________________________________________________

Book Information

The following is the person the book is being made for.
First Name: Middle Name: Last Name: Name Called: Gender: Male | Female Age: Hometown: Friends:
Dedication (example Happy Birthday, With Love From): Book From (Mom & Dad, Aunt Joanne): Date in Book:

My Farm Adventure..................................$12.95
Shipping/Handling.................................$5.00
Deliveries within New York State Must include Sales Tax

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