|
Contact
Information:
|
Name: |
|
Address: |
|
City: |
|
State/Province: |
Zip/Postal Code: |
|
Country: |
|
Phone: |
|
EMail: |
|
|
Order
Information:
Bookmark Kit for
1¢ with an order (SubTotal of $35 or more)
Please select desired bookmark:
[
] #11 [ ] #12b [ ] #13 [
] #14
|
|
Shipping
Charges
(based on Subtotal)
|
|
Subtotal
S/H
Up thru $25.00
$3.00
$25.01 to $35.00 $5.00
$35.01 to $50.00 $7.00
$50.01 and above $9.00
Countries
outside the USA:
Please add $3.00 (U.S.)
to Shipping Charges shown above.
|
|
| Qty: | Catalog
Kit # & Descripton |
Price |
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
|
Subtotal |
|
|
Bookmark for a Penny ($30 or more
subtotal) |
|
|
Shipping Charges (see table
at left)
|
|
|
FL State residents add 7% Sales
Tax |
|
|
Grand Total |
|
|
|
Card Holder Name: |
|
Credit Card Number: |
|
Expiration Date:
|
|
Cardholder Signature: |
Form
of Payment:
(All Money in U.S. Dollars) |
[ ] Check or
Money Order
(Please include payment) |
[
] Visa [ ] Master Card
[ ] Amer Express
|
|
