| Ambleside Designs |
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| To order, please print and complete this form and mail to: Ambleside Designs, 584 Gray rd, Windham, ME 04062 |
| A: Ordered By | B: Shipping or Gift Address |
| Name: |
Name: | ||
| Address: | Address: | ||
| City, State Zip: | City, State Zip: |
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| Daytime Phone: |
Telephone Phone: |
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| Evening Phone: |
Message: | ||
| Email |
Special Instructions:
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| Item # | Product Description | Qty | Ship to A or B |
Price Each |
Total Price |
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| Shipping, Handling & Insurance: (Contintental US only) |
Additional Charges: | Merchandise Total: | |||
| Delivery Charge (per address): |
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| $0-$25.00 $25.01-$50.00 $50.01-$75.00 $75.01-$100.00 $100.01-$200.00 $200.01-$400.00 $400.01 or more |
$6.75 $7.50 $8.75 $10.75 $14.00 $18.00 $22.00 |
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Rush Shipping (add $15.00) |
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| ME Residents add 5% Sales Tax: |
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| TOTAL: | |||||
| We can ship most items by express service. For rush delivery within 2-3 days, add $15.00 to the basic delivery charges. Payment method: Please check one: Mastercard Visa ________________________________________________ Exp: _______________ ________________________________________________ |