Pilgrim Hall Museum Shop Order Form

Pilgrim Hall Museum Shop Order Form
PILGRIM HALL MUSEUM SHOP
75 COURT ST., PLYMOUTH, MA 02360

Quantity
______
______
______
______
______
______
______
______
______
______

Description (and size if needed)
   _____________________________
   _____________________________
   _____________________________
   _____________________________
   _____________________________
   _____________________________
   _____________________________
   _____________________________
   _____________________________
   _____________________________

Price each
________
________
________
________
________
________
________
________
________
________

Total price
__________
__________
__________
__________
__________
__________
__________
__________
__________
__________

Merchandise Total
Minus 10% Discount for Pilgrim Society Members
Plus 5% Sales Tax for Massachusetts residents
Plus shipping & handling (see rates below)
TOTAL

__________
__________
__________
__________
__________

CREDIT CARD INFORMATION
____VISA
____MASTER CARD
____AMERICAN EXPRESS
____DISCOVER
CARD #______________________________
EXP. DATE_____________
ID CODE (last 3 digits from back of card) _______

SIGNATURE__________________________

NAME_______________________________
STREET ADDRESS___________________________
____________________________________
____________________________________

TEL.#_______________________________

SHIPPING & HANDLING CHARGES
(Add additional $3.00 west of the Mississippi)

Up to $25.00
$25.01-$50.00
$50.01-$75.00
$75.01-$100.00
$100.01-$125.00
$125.01-$150.00
$150.01-$200.00
$200.01-$250.00
$250.01-$350.00

$4.95
$7.95
$8.95
$10.95
$13.95
$15.95
$20.95
$22.95
$24.95

We ship UPS. Shipping and handling charges are based on total amount of the order.