Call
1-800-882-7283
Click here for printable version of order form
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Ordered By Name: _____________________
Office
Address:_____________________________
City:________________________________
State:_______ Zip:_________
Work Phone:__________________________
Home Phone:__________________________ |
Fill this section out if you would like the
item sent directly to your client
Ship To Name:_________________________
Address:____________________________
City:_______________________________
State:______________ Zip:______________ |
| ITEM#
| QTY
| DESCRIPTION
| ITEM PRICE
| TOTAL
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Mail
To:
Roland’s Catalog
2 Daniel Drive
Chester Springs, PA 19425
Or
Fax To: 1-610-649-4447
PAYMENT
BY:
__Check
__VISA __Mastercard
__American Express
Valid Through:___________
Card Number:_____________
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Shipping
and Handling Charges to the 48 continental United States:
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Purchase Amount:
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Add:
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Up to $25.00
$25.01 to 50.00
$50.01 to $75.00
$75.01 to $100.00
$100.01 to $150.00
$150.01 to $200.00
$200.01 to $300.00
$300.01 and over
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$9.95
$11.95
$12.95
$13.95
$15.95
$17.95
$19.95
7% of order
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Please note that due to the size and packaging requirements, our normal shipping charges do not apply for sketches. Please call for shipping rates to your state.
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Merchandise
Subtotal
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Shipping/Handling
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Subtotal
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Sales
Tax
Add 6% in PA |
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TOTAL
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