| To order catalog items, please
print this form and send it along with your payment. |
Fill in the name and address that will be used
for shipping. Name_____________________________________________ |
Parrish Relics P.O. Box 80039 Stoneham, MA 02180 USA |
catalog section |
description/length/customization |
price/ each |
quantity |
total |
Sales Tax:
Massachusetts Residents please add sales tax of
5%. |
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International rate USPS Global Priority Mail Canada and Mexico $4.25 (up to three items) All Other Countries $5.25 (up to three items) |
Please allow 6-8 weeks for delivery on small orders. |
| Fill in your full name as it appears on your credit card and the address information on file with the credit company. |
|
|
Full Name_________________________________________________________ Address________________________________________________Apt._______ City__________________________ State/Province______________________ Country_____________________________ Zip/Postal Code_______________ Card Number_____________________________________________________ Select Card: ___Mastercard ___Visa Expiration Date: Month____ Year____ |
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