Name:___________________________________________________________
(first and last as appear on your credit card)
 
Address:________________________________________________________
(as it appears on your credit card statement: street, city, 
     state, zip code)
 
Daytime telephone number (with area code):_______________________
 
Nighttime telephone number (with area code):_____________________
 
Email Address:________________________________
 
Payment type (check one):
___ Check        ___ Money Order   
___ Mastercard   ___ Visa   ___ Discover/Novus
Credit/Debit Card Number: __________________________ exp. ______
 
Signature: _____________________________________________________

When ordering using this form please call 207-664-7474, Outside Maine: 800-715-5262 

 Or email: orders@blacksheeptrading.com for the current shipping rates 

 Orders will not be shipped unless the shipping cost is paid.