SilverCrow Creations
999 McKean Avenue
Donora, PA 15033 USA
 phone 412.521.4938, fax 412.521.4277
omar@silvercrowcreations.com

OrdeR Form
Please Print Clearly

 

Ordered by

Shipping Address                         

 Name

 Name

 Address

 

 Address

 

 City                   State/Country                               Zip/Post Code

 City                   State/Country                               Zip/Post Code

Phone & Email

 Fax

 Daytime    (          )

 Email

 Evening    (          )

 Add to SilverCrow Email List?     YES     NO

Item Number

Quantity

Description

Mounted or
unmounted?

Unit Price

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Special instructions or additional items? Use the back of form

Order Subtotal

 

Shipping & Handling Charges

Subtract Gift Certificates or Coupons

 
Order Amount USA, Territories Military Mail Canada Everywhere Else
$0.00 - $30.00 $5.75 $7.75 $10.75
$30.01 - $50.00 $6.75 $8.75 $12.75
$50.01 - $85.00 $7.75 $9.75 $14.75
$85.01 - $100.00 $8.75 $10.75 $18.75
$100.01 - $125.00 $9.75 $15.00 $27.50
$125.01 - $200.00 $12.50 $25.00 $30.00
$200.01 - $300.00 $14.50 $27.50 $40.00
$300.01 - $500.00 $17.50 $29.50 $50.00
over $500.00 $18.50 $31.00 $55.00

New Subtotal

 

Shipping & Handling (see chart at left)

 

SubTotal

 

Sales Tax: pa State Residents ONLY add 6%

 

Allegheny cty pa Residents ONLY add 1%

 

SubTotal

 

add Shipping & Handling from table

 

SilverCrow ships via USPS, FedEx DHL to USA; USPS to anywhere else. *Low cost shipping at  lowest surface rate. If customer requests faster delivery SilverCrow pays the LOWEST SURFACE RATE. Shipping in one package only. Value of merchandise must be declared on customs shipping notice. Insurance not available on packages outside USA. For complete shipping information, see SilverCrowCreations.com.

 TOTAL  
   
   

 

global customers: Please use Credit Card or send Check or International Money Order in US$

Circle Payment Method: (No CASH)  Make check or money order payable to SilverCrow Creations. US$25 return check fee.

Check     Money Order     American Express     Visa     MasterCard     Discover

Account Number

 

Expiration Date (mm/dd/yyyy)

 

Signature

Stamp PRICES

A

B

C

D

E

F

G

H

I

J

K

L

M

N

O

P

Q

R

S

T

U

V

W

X

Mounted

5.00

5.50

6.50

7.50

8.00

8.50

9.00

9.50

10.50

11.00

11.50

12.00

12.50

13.00

13.50

14.00

14.50

15.00

16.00

16.50

17.00

17.50

18.00

18.50

Unmounted

2.50

2.75

3.25

3.75

4.00

4.25

4.50

4.75

5.25

5.50

5.75

6.00

6.25

6.50

6.75

7.00

7.25

7.50

8.00

8.25

8.50

8.75

9.00

9.25

All other items are priced as marked. Prices subject to change without notice
Top  ©SilverCrow Creations 1999-2006
 SilverCrow Creations is an ANGEL company   webmaster@silvercrowcreations.com