Cool Springs Gift Shop

Cool Springs Gift Shop

INSTRUCTIONS: Print out this Order Form. Fill in your complete name, mailing address and daytime phone number in the provided space. Please print legibly!   Enter your choices to the form. Add totals for all items. AZ residents add 8.099% tax, include shipping charges - see chart below.   Please, checks or money orders only in US dollars on a US bank. No wire transfers or foreign currency. Make payment payable to Cool Springs Gift Shop   & send to:

NAME:
ADDRESS:
CITY:
STATE:                                 ZIP:
DAYTIME PHONE: (       )
email:

Cool Springs Gift Shop
8275 Oatman Road
Kingman, AZ 86413

e-mail:  coolsprings@gotsky.com

Orders must be paid in full. Items subject to availability. Prices subject to change without notice.

NUMBER

ITEM DESCRIPTION

SIZE

QTY

PRICE

TOTAL

                 
                 
                 
                 
                 
                 
                 
                 
                 
                 
SHIPPING CHARGES CHART:
ORDER TOTAL: ADD:    ORDER TOTAL: ADD:
$        0 to $ 25.00 $ 4.95    $ 25.01 to $ 40.00 $ 6.95
$ 40.01 to $ 55.00 $ 8.95    $ 55.01 to $ 75.00 $10.95
$ 75.01 to $ 95.00 $12.95    $ 95.01 to $155.00 $14.95
$155.01 to $175.00 $16.95    $175.01 + add 8% to subtotal
Arizona Residents Only add 8.099% to Subtotal
SUBTOTAL   
TAX
(AZ Residents only add 8.099%)
  
SHIPPING
(see chart at left)
  
ORDER TOTAL   

Please allow 4 - 6 weeks for delivery

                 

Special Instructions or Comments:_______________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

                 

Thank You for your order!