MasterCard Accepted

Mail In Order Form
VISA Accepted

To print this form: Please select "file" and then "Print"

Mail To:
Indian-Artifact Magazine

245 Fairview Road.
Turbotville, PA 17772-9063

* FIRST NAME
E-Mail Address
* LAST NAME
PHONE
* ADDRESS
UNIT
* CITY
 
* STATE
  PLEASE TYPE YOUR INFORMATION BEFORE PRINTING
* ZIP
  INSTEAD OF WRITING IN AFTER PRINTING.
  * = indicates required field
THIS HELPS US COMPLETE YOUR ORDER FASTER

 

Visa, Discover #________________________________________________________ Expiration_______________
Mastercard#___________________________________________________ Expiration_______________
Quantity
Magazine Issue # / Book T-Shirt / Patch
Price Each
Amount
   
Shipping Charges
   No tax on subscriptions & T-shirts
PA Residents + 6% tax
 
Total
Domestic
Shipping Charges:
Postage rate
  Purchase Total
$2.75
  $0.01 –$15.00
$5.25
  $15.01–$50.00
$8.75
  $50.01 –$75.00
$11.25
  $75.01–$100.00
$17.00
  $100.01 and up



No shipping on subscriptions and when purchasing complete patch sets
 
Please indicate size and color with order of T-Shirt





Canada and Foreign
Shipping Charges:
Postage rate
  Purchase Total
$4.00
  $0.01 –$15.00
$6.50
  $15.01–$25.00
$8.50
  $25.01 –$35.00
$10.00
  $35.01–$50.00
$12.50
  $50.01 and up
     

 

 

Questions? Call Us! Toll free @ 866-437-3698 Or
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