order form for ferguson merchandise

ORDER INFORMATION BELOW: Please print, fill out and mail. See below.

 

NAME___________________________________PHONE (       )______________________ 

ADDRESS______________________________________________________________       

CITY_______________________________________________________STATE______________ZIP______________________                                                              

Check #_________________     Amount $___________________       

 

SHIPPING CHARGES --   U.S.    CANADA

Orders up to $20.00 ...........$4.95......$6.95

$20.01 to $40.00................$6.95......$8.95

$40.01 to $70.00................$8.95......$9.95

$70.01 to $100.00.............$9.95.....$10.95

$100.01 to $150.00........$10.95.....$11.95

$150.01 and over ...........$11.95.....$12.95

MasterCard/VISA #__________________________________   Expiration Date_____________

Name on Card_____________________________________

Signature__________________________________________

 

MAIL TO:  ELLEN F. BOLTHOUSE, Mdse. Mgr., CFSNA, 210 Primrose Drive, Clarks Summit, PA 18411

   PHONE:  (570)587-0232   E-mail: ebolt@epix.net         

  If you are thinking of making an order, you should read this before you send in your order. All orders through this site are sent in through snail mail, in the future, we may consider setting up this site as e-commerce. You may also call in your orders through phone at (570)587-0232  where you will need your VISA or Mastercard for payment process.

 ALL PROFITS FROM CLAN MERCHANDISE ACCRUE TO

THE CFSNA EDUCATIONAL TRUST FUND.