revised 12/16/07
Wellcat Herbs
Ruth Roy's Herb Shoppe
29 E. Main Street, Annville, PA 17003 717-685-1219
Email: info@wellcat.com
ORDER FORM (Please print clearly)
Name_________________________________________________________
Shipping Address:
Street _____________________________City___________________________
State____ Zip_______
E-Mail__________________________ Phone _(___)_____________________
Item Quantity Price Total
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_______________________________|__________|__________|__________| _______________________________|__________|__________|__________|
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Sub Total ____________
Sales Tax (PA residents add 6%) ____________
Shipping ** ____________
Total ____________
Method of Payment (Check one)
___Personal Check US funds only (Must accompany order)___Money Order US funds only (Must accompany order)
___ VISA or ____ MasterCard
Card Number: ____ - ____ - ____ - ____ Exp. Date __/__
**Shipping & Handling - We usually use Priority Mail. The price structure: for orders under $15, add $4.00; $15 to $30, add $8.00; $30 to $60, add $10.00.
During the holiday season we will do our best to expedite all orders! Otherwise, please allow 2-6 weeks for delivery (depending on availability).
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