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Please provide the following information |
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First Name |
Last Name |
Date |
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Street |
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Credit Card Information |
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City |
State Zip |
Visa Mastercard Discover |
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Card Number |
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Area Code/Phone E-mail |
Name on Card |
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Expiration Date |
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Signature: |
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Shipping Address (If different) |
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Street |
City |
State Zip |
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Order Form |
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| Quantity Product Code Description Unit Price Total | |||
Subtotal Tax (Add 6% if Pennsylvania) Shipping (located on chart below) Total |
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Shipping Postage Chart United States Domestic Mailing Rates |
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| Order Amount | Postage Charge |
| Under $9.99 | $1.00 |
| $10.00 - $19.99 | $1.50 |
| $20.00 - $29.99 | $2.50 |
| $30.00 - $39.99 | $3.50 |
| $40.00 - $49.99 | $4.50 |
| $50.00 - $69.99 | $5.50 |
| Over $70.00 | FREE |
Canada - Add $1.00 to above shipping rates.
International Orders
If country accepts
Global Priority Mail:
Mexico - $7.00 per envelope (Up to 4lbs.)
All other countries - $9.00 per envelope (Up to
4lbs.)
If country does not accept Global Priority Mail:
Shipping expenses vary widely. Please specify if you wish air (7 to 10 day service) or surface (6 to 8 week service) delivery. Shipping charges will
be billed as quoted by the US Post Office.
Click here to go to the ONLINE STORE
Print and mail this form to:
Country Keepsakes
RR1 Box 198G
Rome, PA 18837
(570) 744-2246
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Website design by Leslie and Linda Salitrynski ©2007 All rights reserved Country Keepsakes RR1 Box 198G Rome, PA 18837 Linda@countrykeepsakesonline.com |