apple Museum Shop Order Form
Louisa May Alcott’s Orchard House - Home of Little Women
Attn: Mail Order, P.O. Box 343, Concord, MA 01742-0343 
Shop Fax: 978.369.9611  •  Phone 978.369.4118 x 107
To order via email, please write to scody@louisamayalcott.org
DO NOT INCLUDE CREDIT CARD INFO IN EMAIL!

Customer Information: (please print)

Name:

Street Address:

City/State/Zip:

Daytime Phone:

   Email:
 Would you like email updates? Yes    No
 Have you ordered from us before? Yes    No
 If no, how did you hear about us?

Ship To: (if different from above address)

Name:

Address:

City/State/Zip:     

Method of Payment:

Check (payable to "Orchard House")    Check #
MasterCard        Visa        American Express   Discover   Diner's Club

Card Number:   Expiration Date: 

 Credit Card Verification Number: Click to see examples
 Full name on credit card:
 Order Information:

Quantity

Item

Size/Color

Price

Regular Postage and Handling
NOTE: Additional postage may apply to heavier items like books and mugs.
$0.01   - $ 9.99 = $4.95
$10.00 - $24.99 = $6.95
$25.00 - $39.99 = $8.95
$40.00 - $59.99 = $10.95
$60.00 -   $74.99 = $12.95
$80.00 -   $99.99 = $14.95
$100.00 - $124.99 = $16.95
$125.00 - $149.99 = $18.95
Over $150.00 = $19.95

Special Postage and Handling

"Scrabble"
$8.95 shipping for 1st "Scrabble" ordered; $2.00 for each additional

Add 50% for Canadian and double the amount for overseas orders

Merchandise Total

Member Discount (10% for members)

Mass. Sales Tax (Residents only, add 6.25%)

Postage and Handling

TOTAL

Thank you!
Special Notes:

Please print this form and fax or mail to Orchard House.
Or click here for a single-page form in pdf (Adobe Acrobat) format.

Office use only:
Initials: _______
Date recd. ________
Date filled: _________
Mail __ Fax __ Phone__

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