PLAYHOUSE BOOKS ORDER FORM Fill in information fields applicable to the book(s) being ordered. Add additional information in the "Info & Remarks" area.
Book #:	Book Name:	Qty.	Price	Total
PP			$	$
PP			$	$
PP			$	$
PP			$	$
PP			$	$
PP			$	$
PP			$	$
Order Total:				Total
Additional Information & Remarks:
Order Total ________ + S&H _________ + Sales Tax _________ = _________ Sales Tax: Wisconsin Residents 5% WI/Marathon County 5.5% Orders totalling $0 - $10.00 Shipping & Handling is $4.00 Orders totalling $10.01 - $50.00 Shipping & Handling is $5.00 Orders totalling $50.01 & above Shipping & Handling is $6.00 Enclose Check, Money Order, or Charge Card Info. Customer Information: Name: _______________________________ Address: _____________________________ City: ___________________ State: ____ Zip Code: ________ Telephone Number: ___________________________ Card Type: MasterCard __ VISA __ Card Number(16 digit): ________________________ 3 Digit Number (on Back of card): ________ Expiration Date: _______ Name on Card: ______________________________ Signature: ___________________________________
Ship to Information: (if different than customer information) Name: Address: City: State: ZIP Code:
Mail Order to: Gott Ways, LLC P.O. Box 235 Rhinelander, WI 54501-0235
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