apple Museum Shop Order Form
Orchard House - Home of the Alcotts, P.O. Box 343
Concord, MA 01742-0343       Attention: Mail Order
Fax: (978) 369-9611

Customer Information: (please print)

Name:

Address:

City/State/Zip:

Phone:

   Email:

Ship To: (if different from above address)

Name:

Address:

City/State/Zip:

Method of Payment:

Check (payable to "Orchard House")   
MasterCard        Visa        American Express

Card Number:   Expiration Date: 

Order Information:

Quantity

Item

Size/Color

Price

Regular Postage and Handling
$0.01   - $14.99 = $4.95
$15.00 - $24.99 = $5.95
$25.00 - $39.99 = $6.95
$40.00 - $59.99 = $7.95
$60.00 - $74.99 = $8.95
$75.00 - $99.99 = $9.95
$100 & above = $12.00 per $100

Special Postage and Handling

"Scrabble"
$8.95 for 1st "Scrabble" ordered; $2.00 for each additional
Alexander Dolls
$12.00 each

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

Merchandise Total

Member Discount (10% for members)

Mass. Sales Tax (Residents only, add 5%)

Postage and Handling

TOTAL
Thank you


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