3 Sylvan Way
Wayland, Massachusetts 01778
phone/fax: (508) 358-2109
email: info@bogartspuzzles.com

Order Form

Name:
Street:      
City:         
State:         Zip: 
Daytime telephone:     
Email:

Puzzle name:     Price:
Puzzle name:     Price:
Puzzle name:     Price:

Whimsies (special figures or silhouettes):
Personalization (names, dates, special words or initials):
Gift wrapped:     Enclosed gift card:    Message:

Ship to:

Name:
Street:      
City:         
State:         Zip: 

Price of puzzles:                                      
Shipping and handling ($8.50 per puzzle):       
Mass. Residents add 5% sales tax:           
Grand Total: