Peridot Angels Order form
Please rush my order for the items I have requested. I am paying for this merchandise by: ____Money Order
Name_______________________________ Address ____________________________ City ________________________________ State & Zip __________________________ Phone( ) __________________ Email ________________________
Shipping & Handling Chart These charges represent only part of the actual costs. We'll pay the rest. If your order is up to: 14.99......................................... add $ 4.05 from $15.00 to $19.99.................... add $ 4.35 from $20.00 to $24.99.....................add $ 4.65 from $25.00 to $29.99.....................add $ 5.45 from $30.00 to $34.99.....................add $ 6.05 from $35.00 to $39.99.....................add $ 7.00 from $40.00 to $44.99.....................add $ 7.80 from $45.00 to $49.99.....................add $ 8.60 over $50.00......................................add $ 9.10
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Item No - Description - Qty - Price - Total Price
_Item #____-___Description ____ _-_Qty____-_Price_-___Total__ __________-____________________-_______-_______-________ __________-____________________-_______-_______-________ __________-____________________-_______-_______-________ __________-____________________-_______-_______-________ __________-____________________-_______-_______-________ __________-____________________-_______-_______-________ __________-____________________-_______-_______-________ __________-____________________-_______-_______-________ __________-____________________-_______-_______-________ ________________________________________________________ Merchandise Total $________ Sales Tax(if applicable) + ________ Shipping & Handling +________ Total amount enclosed $________ |