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Order Form
Place your order by phone or fax at 800-253-1470 or
Mail to: PO Box 115, Cimarron, NM  87714
Please call 800-253-1470 or e-mail me if you have questions.
Prices are subject to change.

 

Item Name Totem Size Quantity Price Each Total
           
           
           
           
           
 Merchandise Subtotal
  $
Shipping  $
New Mexico Residents add 6.6875%  $
 Total  $

Shipping Charges ~ Standard mail shipping*

$1.00 to $25.00:       $5.95
$25.01 - $35.00:       $6.95
$35.01 - $50.00:       $7.95
$50.01 - $75.00:       $9.95		   $75.01 - $100.00:     $11.95
$100.01 - $150.00:   $13.95
$150.01 - $200.00:   $15.95
$200.01 - $250.00:   $18.95
$250.01 and over ... charge 8% on merchandise total only.

Note*: Merchandise sent standard mail (USPS). Priority Mail add $2.00 to standard
delivery charge. Express Mail add $15.75 to  standard delivery charge.
UPS charges must be quoted.

6.6875% to merchandise and shipping/handling costs for all New Mexico Residents.

Payment Method
oVisa    oMasterCard    oDiscover    oAmerican Express

Credit Card #: ____________________________   Expiration Date: ______________   3-digit # on back of credit card: _______  

Print Name: ___________________________________________    Telephone Number: __________________

Billing Address
Name: ___________________________________________________________________________________

Address: __________________________________________    City: __________    State:___    Zip:________

Shipping Address
 o Same as Above.

Name: ___________________________________________________________________________________

Address: __________________________________________    City: __________    State:___    Zip:________

Thank you for your order!