1.Fax it to (251) 968 8781
2.Snail mail it to: A Bit O' Blarney, Inc.
C/O Order Dept
1545 Gulf Shores Pkwy #117
Gulf Shores, Alabama 36542

Name: _________________________

Email: _________________________
(double check spelling as this is where your
order confirmation will be sent to)

Company (optional): _________________________

Address: _________________________
(please be sure to enter a physical mailing address, if you
enter a P.O. box, your items may take longer to arrive)

City: _________________________

State: _________

Country: _________________________

Zip: _________

Phone: (___) ____ - ______

( ) I am enclosing a check or money order for my order. Please note that we do not accept checks by fax, so if
you are paying by check you must mail it in.
( ) I want to charge this purchase to my Credit Card

Credit Card (circle one):

VISA
MasterCard
American Express
Discover

Card Number: _________________________

Expiry Date: _________

Signature: _________________________