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ORDER FORM
Mail this form and your check to: MINNESOTA TERRITORIAL PIONEERS
176 SNELLING AVENUE NORTH, SUITE 328 |
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ORDER FORM
Mail this form and your check to: MINNESOTA TERRITORIAL PIONEERS
176 SNELLING AVENUE NORTH, SUITE 328 |
NAME _____________________________________________
ADDRESS __________________________________________
CITY _________________________ STATE ____ ZIP ______
If we have any questions about your order, how should we contact you?
__ EMAIL: ______________________________________
__ PHONE: _____________________________________
Time of Day to call: ___________________________
| Item |
Size |
Unit Price |
|
Quantity |
Total |
|
| Women's Golf Shirt | L XL | 25.00 | X | = | ||
| Men's Golf Shirt | L XL | 25.00 | X | = | ||
| Sesquicentennial Mug | 15.00 | X | = | |||
| 1st Edition Mug |
------------------ |
15.00 | X | = | ||
| Tote Bag |
------------------ |
15.00 | X | = | ||
| Log Cabin Cookbook |
------------------ |
8.00 | X | = | ||
| Wagon Trails |
------------------ |
16.00 | X | = | ||
| Sesquicentennial Reprint "Then and Now" | ------------------ | 7.95 | X | = | ||
| Currents of Change - Print | 6.00 | X | = | |||
| Package of 5 Notecards | 4.00 | X | = | |||
| Postcard | .50 | X | = | |||
| Subtotal | ||||||
| Shipping & Handling from chart below |
+ |
|||||
| Aluminum Commemorative Sesquicentennial Medallion $1.50 X ___ = | ||||||
| Aluminum Medallion - Airtite capsule $2.50 X ___ = | ||||||
| Aluminum Medallion - Velvet bag $3.50 X ___ = | ||||||
| Numbered Polished Bronze Medallion - Velvet Box $11.95 X ___ = | ||||||
| Numbered Fine Silver Medallion - Velvet Box $64.95 X ___ = | ||||||
| 3 Medallion Set (Silver, Bronze, Aluminum) $89.95 X ___ = | ||||||
| Antiqued Bronze Medallion - Velvet Box $9.95 X ___ = | ||||||
| Antiqued Bronze Medallion - Velvet Bag $6.95 X ___ = | ||||||
| TOTAL ENCLOSED | ||||||
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Shipping and Handling Chart Shipping and Handling is based on the total dollar amount of your purchases. Locate the total of your purchases (Subtotal) on the chart below to find the corresponding shipping & handling charge. There is NO shipping and handling charge for aluminum commemorative medallions. |
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| Subtotal |
Add |
Subtotal |
Add |
||
| up to $10 | $5.00 | $10.01-$20 | $7.50 | $20.01-$30 | $10.00 |
| $30.01-$40 | $12.50 | $40.01-$50 | $15.00 | $50.01-$60 | $17.50 |
| $60.01-$70 | $20.00 | $70.01-$80 | 22.50 | $80.01-$90 | $25.00 |
| For amounts over $90, add $2.50 for each additional $10 in purchases | |||||