ORDER FORM
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You may pay with PayPal. PayPal allows you to use your credit cards or your PayPal account in a secure transaction. Just use the buttons provided. If you are using PayPal as your method of payment you do not have to fill out the items in red. For each item you desire, click on the Add to Cart button. This will open a separate window where you can verify your order and change quantities as desired. You will have the opportunity to give us the shipping information when you check out. By clicking on the "View Cart" button you can verify your items at any time throughout the process. Or, if you prefer, you may print this form, fill it out and send it with your check or money order, made payable to Bronx River Art Center, and mail to:
SPECIFICATIONS |
| SACHETS
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| Size:
4" x 4" square Herbs: scented with lavender, chamomile and spearmint. List Prices: Single sachet: $ 9.00 each Set of two tied with a bow: $17.00 per set Set of four sachets: $32.00 per set |
| Eyepillows: |
| Size:
4" x 7" Herbs: scented with lavender, chamomile and spearmint. List Price: $18.00 each |
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Name _____________________________________________________ Organization_______________________________________________ Address ___________________________________________________ City______________________________ State _________Zip________ Tel _________________________ Fax___________________________ Email ______________________________________________________
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| Deliver
to: (if different from information above) Name _____________________________________________________ Organization_______________________________________________ Address ___________________________________________________ City____________________________ State _________Zip_________ Tel _____________________________ Fax______________________ Email _____________________________________________________
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| *Please specify Winter, Spring, Summer or Fall or assorted . For items that contain more than one unit, you may specify a different season for each unit. For sets of 4 sachets, you may also specify ALL and your set will contain one item from each season. | |||||
| Item | Item No. | Season | Quantity | Price | Total |
| Sachets |
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| Single | SO1 |
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$9.00
each
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| Set of 2 | SO2 |
$17.00
each
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Set of 4 |
SO4 |
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$32.00
each
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| Eyepillows | |||||
| Single | E01 |
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$18.00
each
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Subtotal:
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Sales
Tax
New York residents add 8.625% Sales Tax |
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Shipping
and handling:
Up to - $10.00 $2.75 $10.01 - $30.00 $4.50 $30.01 - $60.00 $6.00 $60.01 - $100.00 $10.00 $100.01 and above $12.50 |
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Grand
Total
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