- Subscription and Product Order Form -


Please check: Subscription_____ Product Order____

Mail Orders to:
The Pine Tree Shilling
507 Meany Rd.
P.O. Box 1005
Charlestown, NH 03603-1005

One year subscription is:
$18
US funds;
Outside the United States:
$22
US funds;
(no s&h for subscriptions)

Print your name and shipping address below:
Name:_______________________________________________
Mailing Address: ______________________________________
City: _______________________ State: _____ Zip: __________
_________ Check or money order enclosed
Credit Card Number ___________________________________
(Visa, Mastercard, AMEX) Exp. Date MM/YY ______________

Customer Signature ____________________________________

Item #
Item Name
Quantity Ordered
Price
per each
TOTAL
. . . . .
. . . . .
. . . . .
. . . . .
. . . . .
. . . . .
. . . . .
. . . . .
Prices and Availability Subject to Change
SubTotal Amount
.

 

Shipping & Handling
.
$5.00 discount on
orders over 100.00
Orders outside the USA will be air mailed, please add
$10 to shipping schedule
.
Shipping and Handling Charges
TOTAL
.
0-$12.99
$13.00 - $30.00
$30.01 - $50.00
$50.01 - $75.00
$75.01 - $100.00
$100.01 - $150.00
$150.01 - $200.00
$200.01 and up
$3.50
$5.50
$7.50
$9.50
$11.50
$13.50
$15.95
8% of total
. .
. .
. .