Black Forest - Chalkware Collection

P.O. Box 1052
Sterling, Massachusetts 01564
Email: info@blackforestcollection.com
Checks, money orders, and online PayPal credit card payments accepted.  To order by check, or money order, please print this form, complete and mail to the address below.  For PayPal, please email for an invoice and payment instructions.
Name_______________________________________________________________________
Address_____________________________________________________________________
City_________________________________________State________Zip________________
Phone_______________________________Email___________________________________
Item # Item Name Price Qty. Total
________ ____________________ $___________ _____ $___________
________ ____________________ $___________ _____ $___________
________ ____________________ $___________ _____ $___________
________ ____________________ $___________ _____ $___________
________ ____________________ $___________ _____ $___________
________ ____________________ $___________ _____ $___________

Shipping & Handling Charge
Please add amount below to Subtotal
 up to $25

$ 6.00
$ 26 - $50

$ 7.50
$ 51 - $75

$ 9.00
$76 - $100

$10.00
$101 - $125

$12.50
$126 - $150

$14.00
over $150

Please email for amount
SUBTOTAL $___________
TOTAL $___________

Thank you for your Order!

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