Labels:bulletin board | crt screen | earth | fence | index register | plant | rock | sky | trade name | tree | water | windowpane OCR: Name Address City State Phone e-mail Item# Description Quantity Unit Cost Total Cultural Center Donation Visa and MasterCard Accepted Subtotal Account No Shipping Handling Expiration Date Total Signature *Shipping and Handling Charges: Orders up to $10.00 add $4.75, orders from $10.01 $30.00 add $6. 60 orders from $30.0 $60 .00 add $8.70, orders from $60.01 $80.00 add $10 .80 orders over $80. 00 add 12 .90 The Society is not responsible for printing errors. Prices are subject to change with- out notice 11-01- -2006 chanae