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Merchandise Total Subtract Buyer’s Club or Other Discount (if applicable) Note: Total on line above must be $20 or over for Buyer’s Club. Discount does not apply to purchase of club membership. Merchandise Subtotal Shipping $3.99 for each additional shipping address Express Shipping (No PO Boxes) Additional Express charge per address Handling $2.99 Subtotal Sales Tax** WI Residents Add State/Local Tax of Subtotal Above Total Amount Enclosed PAYMENT METHOD 4 Thank you for your order! 5 CUSTOMER NUMBER SOURCE CODE ORDER ONLINE TODAY! at mileskimball.com · PHONE: 1-855-202-7394 · FAX: Toll-Free 1.800.699.6993 SHIP TO : If different from the name and address shown. Please check appropriate box: Address/Name Change Ship to me at a different address New Customer Gift Recipient Name ________________________________________________________________ Address _______________________________________________ Apt. __________ City ____________________________________ State _______ ZIP _____________ Daytime Phone #: ( ) __________________________________________________ In case we have a question about your order. To receive order receipt and shipment notifications and special offers, print your E-mail Address here: _______________________________________________ *Note: We do not rent or sell your e-mail address. ADDRESS 1 2 $0-9.99 . . . . . . . . . . . . . . . . . . . . . . . . . . . $3.99 $10-19.99 . . . . . . . . . . . . . . . . . . . . . . . . . $5.99 $20-29.99 . . . . . . . . . . . . . . . . . . . . . . . . . $7.99 $30-44.99 . . . . . . . . . . . . . . . . . . . . . . . . . $8.99 $45-59.99 . . . . . . . . . . . . . . . . . . . . . . . . $10.99 $60-79.99 . . . . . . . . . . . . . . . . . . . . . . . . $12.99 $80-99.99 . . . . . . . . . . . . . . . . . . . . . . . . $14.99 $100+ . . . . . . . . . . . . . . . . . . . . . . . . . . . $15.99 ADD’L ADDRESS . . . . . . . . . . . . . . . . . . . $3.99 Based upon your merchandise subtotal Already a club member? Enter special source code to receive your benefits. Online Order Form Item No. Design or Color Code Size Code Qty. Item Description page For PERSONALIZED Items Only. print personalization or “NONE” if not wanted. Price Each Total Price 123456 432 1234 2 Example 2 Initials (MTC) 3 Shipping: Most items leave our plant 1-2 working days from receipt of your order (2-3 days for personalized items). Allow additional time for delivery (approx. 3-6 working days). Some items ship separately from the manufacturer, and require extra time. In those cases, catalog copy will indicate delivery time frame. Use your Sale Confirmation Number to track your order online at www.mileskimball.com. Delivery Methods and Times Rate Economy Shipping = 4-8 business days* See shipping chart Standard Shipping = 3-6 business days* $7.95 + economy shipping Premium Shipping = 3 business days* $9.95 + economy shipping Next Business Day = 1 business day (if ordered by 1:00 p.m.)* $32.00 + economy shipping *Allow an additional 2 days for orders with personalized items. Express shipping is not available for oversized items, shipments to P.O. Boxes, drop-ship items, or out-of-stock items. For shipments outside the US please call Customer Service for details. Tax: **CO,KY,LA,OK,SD,VT customers: See important Sales and Use Tax information regarding tax you may owe directly to your state by visiting the FAQs page on [www.mileskimball.com]. (Make payable to Miles Kimball) Check or money order enclosed Charge my Credit/Debit Card m m y y Account # Expiration Date To process your order, we must have your signature and card expiration date. Signature ________________________________________________________ On Orders Over $75 Credit or debit card required. Fill out below (see mileskimball.com for full details). Order Processing Center P.O. Box 3600 Oshkosh, WI 54903-3600
