orderform

Mail-in Order Form

To order by check, just print off this handy order form and send with your payment.

Item Qty Price Each Amount

Subtotal

6.5% sales tax, if Minnesota resident

Shipping Fees (see shipping fees below)

Grand Total

Optional Instructions:

Name

Address

City, State, ZIP

E-mail Address: Phone:( )

MAIL TO:
Darlene Zimmerman
P.O. Box 99
Fairfax MN 55332, USA.

Shipping & Handling Table for Anywhere in the Continental United States.

Order Total ............ Add

$ 0.00 - 9.99 ........... $ 3.00 $ 100.00 - 199.99 ... $ 10.00

$ 10.00 - 49.99 ....... $ 5.50 $ 200.00 & up ........ $ 12.00

$ 50.00 - 99.99 ....... $ 8.00

Foreign customers - All purchases will be shipped Global Priority. Please e-mail for charges.

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Item	Qty	Price Each	Amount












Subtotal
6.5% sales tax, if Minnesota resident
Shipping Fees (see shipping fees below)
Grand Total
Optional Instructions:
Name
Address
City, State, ZIP
E-mail Address:		Phone:( )

MAIL TO: Darlene Zimmerman P.O. Box 99 Fairfax MN 55332, USA.
Shipping & Handling Table for Anywhere in the Continental United States.
Order Total ............ Add
$ 0.00 - 9.99 ........... $ 3.00	$ 100.00 - 199.99 ... $ 10.00
$ 10.00 - 49.99 ....... $ 5.50	$ 200.00 & up ........ $ 12.00
$ 50.00 - 99.99 ....... $ 8.00
Foreign customers - All purchases will be shipped Global Priority. Please e-mail for charges.