4-H Supply Service Order Form
Fax (301) 961-2937 or Mail Only
(Not an On-Line Order Form. Print Out Form and Fax or Mail)

For Official Use Only

 
 
Item # Qty Description Color Size Unit Priice Total Price
             
             
             
             
             
             
             
             
             
             
             
             
             
   
SUBTOTAL
 
   
Direct Ship, if applicable add $3.00
 
   
Tax, if applicable (IL 6 3/4%, MD 5%, OH 8%)
 
   
Shipping & Handling
 
   
GRAND TOTAL
 

Ordered By: (Fill in all that apply) Give street address, not a P.O. box, to ensure that delivery can be made by UPS.

Customer #
Name
Organization
Address
City State Zip
Tax ID #
Country
Daytime Phone # (_____) Date Needed to be Received
FAX # E-mail Address
P.O. #

Ship to: (Only If Different from Ordered by)

Name
Address
City State Zip
Daytime Phone # (_____) Date Needed to be Received

Method of Payment:
__ Check or money order enclosed payable to: National 4-H Supply Service
__ Purchase order enclosed.

__ Charge
__ VISA __ MasterCard
__ Discover __ AMEX
Expiration
Date
Account #

__/__

Signature

Required on all credit card orders

Do not send cash or stamps.

*Minimum open institutional account order is $25.00. These accounts are billed the actual shipping costs plus a $3.00 handling charge. Do not use prepaid chart.

For U.S.A. 50 states, DC, Puerto Rico.
All other locations are considered international and are quoted individually.

Note: Freight on educational materials in excess of $250.00 will be billed F.O.B. fulfillment center


Continental 48 U.S.A. Prepaid Shipping and Handling Chart

For Orders Totaling Normal Service
0 - $10.00 $4.50
$10.01 - $19.99 $7.00
$20.00 - $49.99 $9.25
$50.00 - $74.99 $10.60
$75.00 - $99.99 $12.75
$100.00 - $174.99 $15.40
$175.00 - $249.99 $18.70
$250.00 - $399.99 $22.25
Over $400.00   7% of Subtotal less sales tax

All Prices are subject to change at any time. Descriptive, typographic or photographic errors are subject to correction.

Rush delivery at an additional supplement:
We offer priority handling rush delivery by UPS.
The additional cost for 1-2 Cartons:
Next day $21.00 plus shipping costs per shipping chart
Second day $12.50 plus shipping costs per shipping chart
Additional cartons will incur a higher charge.

Sales Tax:
We are required by law to collect tax on merchandise shipped to the following areas: IL, OH, MD.

Send all Orders to: National 4-H Council/Supply Service
C/O First Union Bank
P.O. Box 75013
Baltimore, MD 21275-5013

or Fax to (301) 961-2937