To Order by Mail
Please Print This Form, then Fill It Out and Send It Back Back along
with Check or Money Order to: Golden Earth Center
• P.O. Box 3096
• Ashland, OR 97520
Your Full Name_____________________________________________________
Shipping Street
Address______________________________________________
City, State & Zip
Code_______________________________________________
Telephone_________________________________________________________
E-Mail_____________________________________________________________
Item Ordering_______________________________________
Quantity________
Item Ordering_______________________________________
Quantity________
Item Ordering_______________________________________
Quantity________
Item Ordering_______________________________________
Quantity________
Subtotal ___________________
Total Shipping_______________
TOTAL AMOUNT______________
Comments & Questions_______________________________________________
__________________________________________________________________
Shipping & Handling Reference:
$1. to $25..........$6.50
$26. to $75.........$9.00
$76. to $150........$11.00
$151. & above......$21.00 |
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