| POSTAGE & HANDLING RATES |
|
TOTAL |
|
| Up to
$10.00.........add $5.00 |
|
POSTAGE &
HANDLING |
|
| $10.01 to
25.00..............6.50 |
|
TOTAL ENCLOSED |
|
| 25.01 to
40.00................8.00 |
|
|
|
| 40.01 to
60.00..............12.00 |
FOR CREDIT
CARD PURCHASE --- |
|
| 60.01 to
80.00..............15.00 |
CARD NO. |
|
|
| 80.01 to 100.00............18.00 |
|
|
|
| Over 100.00.................25.00 |
EXPIRATION DATE: |
|
|
| Rates
above apply to 50 United States |
|
|
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| and US
Territories. For other
shipping |
NAME PRINTED ON CARD: |
|
|
| addresses, an
additional shipping |
|
|
|
| charge might be
incurred to meet |
CARDHOLDER
SIGNATURE: |
|
|
| actual costs, and we will
contact you |
|
|
|
|
for authorization prior to shipping. |
DATE: |
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|
Shipping/Handling rates do not apply |
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|
to memberships, gifts, newsletter |
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back issues or raffle tickets. |
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Eligible EHSM members in good |
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|
|
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standing receive a discount equal to |
|
|
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10% of merchandise. |
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|