Print
Out and Mail This Retail Order Form Today |
Please process my
order right away and rush my merchandise to me! |
Name:_______________________________________________ |
Address:_____________________________________________ |
City:______________________________ |
State:___________ |
Zip:___________ |
| Email Address (so
we can notify you if there is a problem with your order):
______________________ Phone
Number: ____________________ |
Signature
X.......................................................................................................... |
Item # |
Qty |
Description/Color |
Unit Price |
Total line Amount |
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Merchandise Order
Total Amount |
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Plus Shipping &
Packing from Chart Below |
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Total Amount of
Order to be Enclosed. |
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I
have enclosed a ____ Check or ____ Money Order for $_____________ |
| Mail Payment Including
Shipping & Packing from chart to: Best
Wishes Specialty Marketing
Attn: Retail Order Department
7500 South Zikes Road
Bloomington, Indiana 47401-9298 |
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 |
| All orders over $50.00 |
add $9.10 |