P R I N T O U T T H I S
M A R K E T P L A C E O R D E R F O R M
If you prefer to send your order by postal mail, please fill out this form
and mail it to us.
Mail to:
Stonehill Productions
PO Box 336
New Manchester, WV 26056-0336
NAME ___________________________________ DATE ___________
ADDRESS ________________________________
CITY ____________________ STATE ______ ZIP ________+______
QUANTITY DESCRIPTION PRICE TOTAL
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Merchandise Total | | |
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AQ Subscribers deduct 10% | | |
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Sub Total | | |
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W. Va Res. Add 6% Sales Tax | | |
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Postage Per Order (under $50, $5.00 - over $50, $6.00) | | |
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GRAND TOTAL | | |
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Method of payment: ___ Check or Money Order ___ VISA
___ American Express ___ Mastercard
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Credit Card Number Expiration Date
Month/Year
(____) ___ - _____ Your telephone number in case we have a question about
your order
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