apple Museum Store Order Form
Louisa May Alcott's Orchard House
PO Box 343     Attn:  Mail Order     Concord, MA 01742-0343      
Store Phone  (978) 369-4118 x107     Store 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")   
MC       VISA       AMEX       __ Discover      __ Diners Club

Card Number:   Expiration Date: 

Order Information:

Quantity

Item

Size/Color

Price

Regular Postage and Handling

$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

$75.00 - 99.99 =     $14.95

$100.00 - 124.99 = $16.95

$125.00 - 149.99 = $18.95

  $150.00 & up = $19.95

Special Postage and Handling

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

Add 50% more for Canadian orders; double for overseas orders

SUBTOTAL

Member Discount
(10% off)

MA Sales Tax
(Residents only, add 5%)

Postage and Handling

TOTAL


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