www.missinglinkstamp.com
Retail
Order Form Order Date _______________
Contact
name ________________________________________________ Phone number_____________________________
Address _____________________________________________________________________________________________
City,
State/Province, Zip/Postal Code __________________________________________________________________________
Email address _______________________________________ Fax number ________________________________________
|
Quantity |
Item
number |
Description |
Unit
Price |
Extended
Price |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal |
|
||
|
|
Shipping
& Handling (see rate chart below) |
|
||
|
|
Total |
|
||
|
|
|
|
||
|
|
Grand
Total Amount |
|
||
PRICE
CODES SHIPPING
& HANDLING RATES
A $4.00 F $6.50 L
$9.00 $.01
- $10.00 add $4.50
B $4.50 G $7.00 M
$9.50 $10.01
- $25.00 add $5.50
C $5.00 H $7.50 N
$10.00 $25.01
- $50.00 add $6.50
D $5.50 J $8.00 O
$10.50 $50.01
- $75.00 add $8.50
E $6.00 K $8.50 P
11.00 Orders
over $75 and non-US or express shipping: call for rate.
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Payment
Method (circle one): Check/Money
Order VISA MasterCard Discover AMEX
Credit card
#____________________________________________ Exp. Date ______________
Name on
card __________________________________ Cardholder’s signature ________________________________________
Thank You For Your Order
We Appreciate Your Business