Mail-In Order Form
No personal or credit information is stored on our web server.

To order by mail, please complete and "Print
Form" below and mail it along with a check,
money order or credit card information to:

Wind Spinner Shoppe
32756 740 RD.
Imperial NE. 69033-8603

Item Name Size Color Price ea Qty. Totals
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
NE Resident Tax 5.5%  $
Shipping  $
Total  $
Bill To:
First Name
Last Name
Address 1
Address 2
City
State
Zip Code
Phone
Email
Ship To:
Same as Billing Address
Ship to Name
Address
City
State
Zip Code
Payment Information:
Items may be purchased with
credit card, check or money order. Please
make checks and money orders payable to
"Leonard Hapes" and in US dollars.
If paying by Credit Card please complete the Credit Card section below.
Payment Type   Type of Credit Card  
Card Number   Expiration Date
CVV2 Number   what's this?