Mail Order Form

Payment may be made by check or credit card (Visa or Master Card Only).

Please print this form, fill out and mail to:

Valley of the Moon Natural History Association

2400 London Ranch Road

Glen Ellen, California 95442, U.S.A.

Item Description

.....................................

Size

(S,M,L,XL)

Unit Price

...........

Quantity

Item Total

..................

1. . . . .
2. . . . .
3. . . . .
4. . . . .
5. . . . .
6. . . . .

Order Sub-Total

      $

California Sales Tax, 7.5% of Sub-Total *

      $

Shipping and Handling **

      $

Order Total, Payable in U.S. $

      $
Visa or Master Card Number______________________ Expiration Date____________ Your Signature_____________________ Date Signed____________

Ship to:

Your Name .
Street .
Apartment # .
City, State, Zip Code .
Country .
Your E-Mail Address ....................................................

* California addresses only.           ** Shipping and Handling Charges:

    Sub-Total $5 or less:

$1.00

    Sub-Total over $20.00

$5.00

    Sub-Total $5.01 to $10.00

$3.00

    Orders shipped outside U.S.A, add

$5.00

    Sub-Total $10.01 - $20.00

$4.00    

Thank you for your Order

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