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O r d e r F o r m
Shipping to multiple addresses: ADD $6.00 for each address after first. Outside the continental United States there will be an additional shipping charge. Please call 802-362-1788 for correct shipping charges and delivery time. Items may be returned within two weeks of the date printed on the original receipt. Receipt must be enclosed for refund. Unwrapped videotapes, audiotapes and CD’s are not returnable.
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Mail Order Form to: Hildene Museum Shop, PO Box 377, Manchester, Vermont 05254
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Call:
802-362-1788
Mon - Fri. 10am - 4 pm EST
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Fax:
802-362-1564
24 hours a day, 7 days a week
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Shop Online:
www.hildene.org
24 hours a day, 7 days a week
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Orders will ship within 3-5 business days.
Ordered by: ________________________________
Address_________________________Apt. #______
City, State________________________Zip_______
Day time Telephone No. ______________________
Evening Telephone No. _______________________
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Ship to (only if different than ordered by):_______________
Address______________________________Apt. #_______
City, State_____________________________Zip________
Daytime Telephone No. ____________________________
Evening Telephone No. ____________________________
Gift Enclosure Message:_____________________________
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All shipments are sent via Fed-Ex.
SHIPPING & HANDLING
CHARGES:
Up to $20.00 .................... $6.00
$20.01 to $30.00 ................ $7.00
$30.01 to $45.00 ................ $8.50
$45.01 to $60.00 ................ $11.50
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$60.01 to $80.00 ................ $13.00
$80.01 to $120.00 .............. $20.00
$120.01 to $175.00 ............. $25.00
Over $1750.00 ................. $30.00
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Item No
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Quantity
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Color
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Description
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Cost Each
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Total Amt
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Method of Payment (please do not send cash)
VISA/MC American Express
Check (please make check or money order payable to: Friends of Hildene
Account Number________________Exp. Date____
Signature__________________________________
Name_____________________________________
Billing Address______________________________
City, State_____________________Zip _________
Call for information regarding international shipping.
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Merchandise Total
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Shipping & Handling
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TOTAL Purchase
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THANK YOU FOR YOUR ORDER
RECEIVED/DATE___________2005
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