To place an order, you may print out this form and mail it to us with your check or credit card information. You may also download the form as an Adobe Acrobat PDF file and print a copy or copies from that. See below for instructions.
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Send Orders To:
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GIBSON PEWTER
18 East Washington Road
Hillsborough, NH 03244
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Or call: (603) 464-3410
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Name ___________________________________________________________________________
Street _________________________________________City ______________________ State ______ Zip ____________
Daytime Phone: ________________________________________
SHIP TO:
Name __________________________________________________________________________
Street _________________________________________City ______________________ State ______ Zip ____________
Daytime Phone: ________________________________________
____ Enclose gift card to say: _________________________________________________________________________
_________________________________________________________________________________________________
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NO. |
EACH |
TOTAL |
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SHIPPING CHARGES:
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Up to $50
$50 to $75
$75 to $150
$150 to $200
each+ $50.00 |
add $8.00
add $9.00
add $10.00
add $15.00
add $3.00 |
Please note: Shipping fees are subject to change, based on current UPS prices |
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Sub-Total |
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| Shipping |
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| TOTAL |
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Payment Method (Please check one) ____Visa ____MasterCard
________________________________________________________________________________
| Card Number |
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Expiration Date
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_________________________________________________
Name Printed on Card
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____________________________________________________
Signature
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____ Personal or company check made payable to Gibson Pewter enclosed.
TERMS:
All orders prepaid with placement by Check or Money Order payable to Gibson Pewter or include Credit Card information. Delivery is normally within I - 2 weeks. We can send gifts for you directly with gift card. See above instructions. We ship via UPS so please use street address rather than Post Office Box whenever possible.
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