collectorscorner.org: Printable Surplus Supply Order Form: REV.12/13/2007

SHIPPING ADDRESS: E-Mail Address: __________@________________
NAME:_________________________________________
ADDRESS:______________________________________
CITY:____________________STATE:________________ZIP:__________________

E-mail the site to have your items put aside for you,

ONCE THESE ARE GONE, THERE GONE, THEY ARE PRICED TO SELL

NUMBER DESCRIPTION QUANTITY PRICE@ TOTAL
#CC-_____ _______________________________ ___________ ___________ ___________
#CC-_____ _______________________________ ___________ ___________ ___________
#CC-_____ _______________________________ ___________ ___________ ___________
#CC-_____ _______________________________ ___________ ___________ ___________
#CC-_____ _______________________________ ___________ ___________ ___________
#CC-_____ ______________________________ ___________ ___________ ___________

SUB-TOTAL ______________

New Jersey Res. please add 7% sales tax on all orders____________

SHIPPING & HANDLING ( on all orders see below____________

Orders shipped out of U.S.A. please add [Canada $15.00] [OverSeas $30.00], ___________

ALL MAP & LARGE OAK FRAME orders please add additional $2.00___________

TOTAL INCLOSED_____________

( _ ) Cash - - ( _ ) Check - - ( _ ) Money Order-- (__) Pay-pal Credit Card --(__) Pay-pal E-Check
MAKE A Pay-pal PAYMENT (use link on web site page)

 

SHIPPING & HANDLING
0 to $3.99 add $2.75
$4.00 to $9.99 add $4.50
$10.00 to $16.99 add $6.50
$17.00 to $24.99 add $8.50
$25.00 to $34.99 add $9.50
$35.00 to $49.99 add $10.50
$50.00 and up add $12.50

Pay-Pal payment address:webmaster@diskworks.com

Checks/M.O payable (U.S.Funds)to: Disk Works of South Jersey
Mail to; Disk Works of South Jersey
187 Clayton-Aura Road
Glassboro, New Jersey 08028-3404