Red Pearl Order Form

MAIL ORDER FORM FOR RED PEARL RUBBER STAMPS
(Because of browser and printer differences, this form may print beyond the margins. Resize the page to fit, if possible.)

First Name:

Last Name:

Address:
(If using credit card,
this address must match billing address on card.)

City:

State:

Postal Code:

Country:

Day Phone:

Evening Phone:

Email address:

Credit Card #: MC. VISA. DISCOVER, AMX (circle one, please)

Expires:

Security/CVV Code*:

(*Last 3 numbers on the signature strip on the back.)

Print Cardholder Name:

Cardholder Signature:

THE INFORMATION SUBMITTED TO THIS COMPANY IS HELD IN STRICTEST CONFIDENCE. NO INFORMATION IS EVER FORWARDED OR SOLD TO THIRD PARTIES.

Qty.	Model #	Description	Price (US dollars)	Extended













			Sub Total 1
		Domestic S/H*	>>>>>>>
		International S/H**	>>>>>>> (calculated at ship date)
			Sub Total 2
		WA residents Sales Tax on Sub Total 2	8.8%
			Total

Revised Mounted
Price Codes:
(as of 1 Jan 06)
B = $5.50
F = $7.00
J = $9.50
L = $11.00
N = $13.00
O = $15.00
R = $21.00

*Domestic S/H (Continental US, Hawaii, Alaska, and US Territories):
Shipping via UPS or First Class Air Post (our choice)
0.01 - 14.00 .... 4.50
14.01 - 40.00 .... 6.50
40.01 - 80.00 .... 8.50
80.01 - 125.00 .... 10.50
125.01 & UP .... 12.50

**International/Overseas S/H
(Anywhere outside Domestic limits):
Credit/Debit card purchase only.
Sent USPS Global Priority/Air Parcel
http://www.usps.com/global.
Rate calculated based on total weight at ship date.