................ By Land or By Sea................ By Land or By Sea
....................Order Form
| Quantity | Description | Cat. Nr. | Each | Total |
|
___________ |
By Land or Sea Cookbook |
_$25.00__ |
________ |
|
| Sub Total |
________ |
|||
| Tax Total** |
________ |
|||
| Shipping Charge |
__ __ |
|||
| Total |
________ |
| *Tax Table | Shipping Charges |
| Outside North Carolina - 0.00% | |
| North Carolina - Mecklenburg County - 7.50% | |
| North Carolina - Outside Mecklenburg County - 7.00% |
Billing Address
| Name:___________________________________________ |
| Certificate Number:________________________________ |
| E-mail:__________________________________________ |
| Address:_________________________________________ |
| Address2:________________________________________ |
| City:_______________________ |
| State/Province:______________ |
| Zipcode:___________________ |
| Phone number:______________ |
| Country:___________________ |
Payment Information:
_____Check or Money Order
_____Discover _____Visa _____Mastercard
Card Number:_______________________________
Name on Card:______________________________
Certificate Number:__________________________
Expiration Date:_____________________________
Mail completed order form to:
United States Power Squadrons
Ships Store
PO Box
Raleigh, NC 27622