Oasis Bordello Museum Gift Store Order Form
Print out this order form and fill it out completely. To avoid delays with your order, please include a telephone number.
Mail it in with your check
or credit card number to:
Oasis Bordello Museum
605 Cedar Street
Wallace, Idaho 83873
Or you can fax your order to: (208) 753-0801
Name: _________________________________________________________________________
Address: _______________________________________________________________________
City/State/Zip: ___________________________________________________________________
Phone number: (__________) _______________________________________________________
List merchandise (please print clearly):
| Qty. | Description | Color/Size | Price | Total Amount |
|
Merchandise Total |
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|
Packing & Shipping (from chart below) |
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|
Total Amount |
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Packing & Shipping Chart
If your order is:
up to $14.99............................. add $4.95
from $15.00 to $19.99.............. add $5.25
from $20.00 to $24.99.............. add $5.55
from $25.00 to $29.99.............. add $5.95
from $30.00 to $34.99.............. add $6.75
from $35.00 to $39.99.............. add $7.75
from $40.00 to $44.99.............. add $8.75
from $45.00 to $49.99.............. add $9.35
over $50.00.............................. add $9.75
Enclosed is the full amount of my order $____________________
Paid by (check one, please):
| ___ | Personal Check | ___ | Money Order | ___ | Certified Check | ___ | Credit Card |
(Please make checks payable to Oasis Bordello Museum. Personal checks will be held until they clear the bank.)
| Charge this order amount to my: | ___ | MasterCard | ___ | Visa |
| ___ | American Express | ___ | Discover |
Charge Card Number ______________________________________________________________
Card expiration date: Month: __________ Day: __________ Year: __________
Signature: _______________________________________________________________________
Guarantee of Quality
Every product you buy from us must be free of defects, or you may return it immediately for replacement or refund. We want you to be completely satisfied with your purchase! Simply return products, postage prepaid, to:
Oasis Bordello Museum
605 Cedar Street
Wallace, Idaho 83873
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