Please print and mail
or fax to:
The GiftWorld Gallery
P.O. Box 1674
Broomfield, CO. 80038-1674
Toll-Free 1-877-439-0318
Phone 303-439-0318
Fax 303-439-0316
Name_______________________________________________
Address______________________________________________
City_____________________State_______Zip_______________
Phone #(___)__________________________________________
| Item # | Qnty | Description | Color Size |
Unit
Price |
Total |
Total of Merchandise......_____________
State Sales Tax 3% (CO)....___________
Shipping & Handling......._______________
Total Amount Enclosed...._______________
Circle payment method:
Check Money Order Cashier's Check
Visa MasterCard
Discover/Novus
American Express
Credit Card
#___________________________________Exp Date__________
Signature_______________________________________________________
Shipping and Handling Charges
If your order is:
| up to $14.99 | add $4.05 |
| $15.00 to $19.99 | add $4.35 |
| $20.00 to $24.99 | add $4.65 |
| $25.00 to $29.99 | add $5.45 |
| $30.00 to $34.00 | add $6.05 |
| $35.00 to $39.99 | add $7.00 |
| $40.00 to $44.99 | Add $7.80 |
| $45.00 to $49.99 | add $8.60 |
| $50.00 and up..... | add $9.10 |