| Shipping Address: | Billing Address: | ||
| Name: | Name: | ||
| Address: | Address: | ||
| City: | City: | ||
| State: | ZIP Code: | State: | ZIP Code: |
| Telephone:
|
Email Address: | ||
| Description | Quantity | Price | Total |
| SUBTOTAL | |||
| CT Residents please add 6% sales tax | |||
| *Shipping & Handling (see chart below) | |||
| TOTAL | |||
| Payment Information: | *Shipping & Handling Costs: | ||
| Personal check enclosed Money order enclosed | (for orders shipped within the Continental United States) | ||
| *Payment must be in U.S. Dollars* | Order Subtotal | Shipping & Handling | |
| Mail order form and payment to: | $.01 - $19.99 | $7.50 | |
| Sticks, Stones -n- Beyond | $20.00 - $49.99 | $10.50 | |
| 862 Farmington Avenue PMB 299 | $50.00 - $99.99 | $13.50 | |
| Bristol, CT 06010 | $100.00 - $199.99 | $16.50 | |
| $200.00 and up | $19.50 | ||
| (please allow 6-8 weeks for delivery) | (**contact us for shipping charges outside the U.S.) | ||