Order Form
DATE: _______________ NAME: _________________________________________________________ ADDRESS: ______________________________________________________ CITY, STATE, ZIP ________________________________________________ PHONE(S): ______________________________________________________ EMAIL: ________________________________________________________ |
| QTY ITEM/NAME PRICE ______ _______________________________________________ _________ ______ _______________________________________________ _________ ______ _______________________________________________ _________ Subtotal _________ Tax (5% MA residents only) _________ *Shipping _________ Total _________ *Shipping Charges will be USPS Priority Mail, Insured, with Delivery Confirmation unless you prefer UPS or FedEx. The rate will be calculated using the actual weight and distance + insurance for the full value + delivery confirmation + $1.50 for handling. Shipping outside the continental US will follow international rates. |
| Please contact me by email (bears@raspbearies.net) or phone (508-393-7864) to verify availability, discuss any special requests and calculate shipping before sending this form |
| Payment Method: Circle one Mastercard Visa Discover Paypal** Check or Money order*** Credit Card #___________________________________ Exp Date____/____ Billing address for card used if it is different from the shipping address: ______________________________________________________ **I will email or phone you the address to deposit funds to my Paypal account *** Check or money order made payable to either 'Vicki Stephan' or 'Raspbearies' |
| Please mail completed form (with check or money order, if chosen) to: Vicki Stephan 418 Howard St. Northborough, MA 01532 |
Thank you!