Carriage House Crafts Mail-in / Fax Form

Carriage House Crafts & Collectibles
Arnold & Barbara Goodrich - Proprietors
172 Hosmer Street ~ Hudson, MA 01749
Tel. (978)568-9110 ~ Fax (978) 562-4581

ORDER FORM

Name _____________________________	Date Ordered________________________
Address ___________________________	Contact Person ______________________
__________________________________	P.O.# _____________________________
Phone/Fax _________________________	Terms _____________________________

QTY	DESCRIPTION OR ITEM NAME	PRICE	TOTAL
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*	Total of all items listed above.	SUBTOTAL	.
*	Multiply SUBTOTAL by .06 to get MASS. TAX (if applicable).	MASS. TAX	No Tax Charges
*	See Shipping Rates Below.	SHIPPING	.
*	Special Shipping Outside US. (Call)	OTHER	.
*	Add SUBTOTAL, Shipping Rates & Special Shipping Rates (if applicable)	GRAND TOTAL	.

All shipments outside the U.S. will be billed a $2.00 handling charge and exact shipping costs.
All amounts are for USD (United States Dollars).
We pay your tax! Shipping Rates:
We charge $5.00 for each item.
5 items or more - Call for special rates.

Method of payment:
Check _____ Visa _____ Discover _____ Mastercard _____ AMEX _____
Credit Card #:________________________
Expiration Date: Month ____________ Year __________
Name on Card __________________________________