Order Form
Ordered by: | Ship to: (if different) |
Name ___________________________________ | Name ___________________________________ |
Address_________________________________ | Address_________________________________ |
City, State, Zip____________________________ | City, State, Zip____________________________ |
Telephone _______________________________ | Telephone _______________________________ |
Item No. | Product Description | Quantity | Unit Price | Total Price |
_______ | ___________________________________________ | ______ | _______ | _______ |
_______ | ___________________________________________ | ______ | _______ | _______ |
_______ | ___________________________________________ | ______ | _______ | _______ |
_______ | ___________________________________________ | ______ | _______ | _______ |
_______ | ___________________________________________ | ______ | _______ | _______ |
_______ | ___________________________________________ | ______ | _______ | _______ |
Payment Method Please do not mail cash. All checks must be in U.S. dollars.
[ ] Check / Money Order Account Number___________________________________ Signature_________________________________________ Expiration Date _____________
|
Subtotal ________
MA Delivery 5% sales tax ________ Shipping charge ________ TOTAL ________ |
Standard Delivery and Handling Charges (U.S.$)
All orders Shipped Federal Express 2-Day Delivery | |||||
Merchandise Total | Up to $20.00 | $20.01 - $40.00 | $40.01 - $60.00 | $60.01 - $100.00 | $100.01 - $600.00 |
Shipping & Handling | $ 4.95 | $ 7.95 | $ 8.95 | $ 9.95 | $11.95 |
For orders outside the U.S., call for shipping information. |
![]() | About the Museum | Education | Group Tours |
1692 Tour | Museum Store | Home |
Washington Square
Salem, Massachusetts 01970
(508)744-1692
Last updated July 24, 1996