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Please print the form below before filling it
out. For complete order information, click here.
Your
Name:
|
Phone: |
Billing
Address:
|
Shipping Address,
If different
from above:
|
Visa/MC/Discover #
|
Expiration Date: |
| Signature:
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|
| Item |
Color/Size |
Price x Quantity |
Total |
| 1. |
|
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| 2. |
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| 3. |
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| 4. |
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| Call toll free: 888-436-2622 |
Merchandise Total: |
| Fax: 603-436-8422 |
Add Shipping/Handling
Charge: |
| Mailing Address: PO Box 6589, Portsmouth
NH 03802-6589 |
Total:
|
For orders going to Alaska or Hawaii, or any order that must be
sent via U.S. Mail, please call for shipping quote.
Sorry, we do not currently accept international
orders, except for those being shipped to APO addresses.
|
U.S. Shipping and Handling Charges
|
| Merchandise Total |
Please Add |
| up to $10.00 |
$5.95
|
| $10.01 to
$40.00 |
$7.95
|
| $40.01 to
$75.00 |
$8.95
|
| $75.01 to
$100.00 |
$9.95 |
| $100.01 to
$150.00 |
$12.95
|
| $150.01 to
$200 |
$14.95
|
| Above
$200.00 |
8% of
Merchandise Total |
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