Simple Order Form
Print out this form. After filling it out mail it to PO BOX 1118, Billerica, MA 01821-1118 with your
check.
Make check payable to Mark E. Buckley.
Item |
|
Cost |
|
Quantity |
|
Total |
My Biography |
|
$9.99 |
|
___ |
|
$_________ |
My Photograph |
|
$19.99 |
|
___ |
|
$_________ |
My Autograph |
|
$5.99 |
|
___ |
|
$_________ |
Box of Junk |
|
$49.99 |
|
___ |
|
$_________ |
|
|
|
|
SubTotal |
|
|
$_________ |
Shipping |
$6.00 if Sub Total below $50.00 |
|
$_________ |
Sales Tax |
5% if within Massachusetts. |
|
$_________ |
Grand Total |
|
|
$_________ |
|
|
|
|
|
Your Name: |
_____________________________ |
|
|
Your Address: |
_____________________________ |
|
|
City, State, Zip: |
_____________________________ |
|
|
Your Email: |
_____________________________ |
|