SHIP TO:
Name ________________________________________________________
Street or P.O. Box ______________________________________________
City __________________________________________________________
State _______________ Zip ___________
Phone ( ____) _____________ Email: ___________________
| Item # | Description | Quantity | Cost | Total | P/H |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
| _____ | ____________________________________ | _______ | ______ | ______ | ______ |
|
Total cost of publications |
_________ |
| Subtotal | _________ | |
| **Postage & Handling (P/H): | _________ | |
| 6% Sales Tax (PA residents only) | _________ | |
| Grand Total: | _________ |
**Shipping and Handling for multiple items:
Include full charge for highest item
Include additional $1.00 for second item
Include additional $ .50 for each item over the first two items.
Please allow 6 to 8 weeks for delivery.