Pilgrim Hall Museum Shop Order Form

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

Quantity
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Description (and size if needed)
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Price each
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Total price
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Merchandise Total
Minus 10% Discount for Pilgrim Society Members
Plus 6.25% Sales Tax for Massachusetts residents
Plus shipping & handling (see rates below)
TOTAL

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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___________________________
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TEL.#_______________________________

SHIPPING & HANDLING CHARGES FOR US DESTINATIONS
(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.