Grandpa's Workshop: Order Form

(PICTURE AND/OR EDUCATIONAL PUZZLES ONLY)

INSTRUCTIONS:

Enter your information:

	Ordered By:	Ship To:
Name:
Address:
City:
State:
Zip:
Phone:
Email:

Enter Puzzle Choices:

Puzzle Description:	Qty.:	Item Price:	Total:
		$	$
		$	$
		$	$
		$	$
		$	$

Determine amount of payment:

Calculate Cost:
Merchandise Total	$
U.S. Postage & Handling (see chart at right)	$
Subtotal	$
Sales Tax on Subtotal (NY State deliveries only)	$
Total Amount Due	$

U.S. Postage and Handling:
For Merchandise Total of:	Add:
$6.50	$4.50
$6.51 to $15.00	$5.00
$15.01 to $25.00	$5.50
$25.01 to $35.00	$6.00
$35.01 to $40.00	$6.50
$40.01 and over	$7.00

Please mail this completed form with check or money order payable to:

David J. Moses,
1037 Chapelhill Dr.,
Victor, NY 14564.

Sorry, I can not accept credit cards.
Please allow 2 to 3 weeks for delivery. Christmas orders must be postmarked prior to December 5th. You can contact Grandpa's Workshop by E-mail at dmoses@linkny.com

ALL PUZZLES COME WITH A MONEY-BACK GUARANTEE IF NOT COMPLETELY SATISFIED.