Order Form 1-978-740-9400 Phone Order Hours 10am - 6pm EST  P.O.Box 8682 Salem MA 01971- 8682  Minimum Order $10.00 Item  Color Quantity Price                                                                                                 Shipping: Orders up to $30.00 add $2.50 $31.00 - $50.00 add $5.50 $51.00 - $70.00 add $7.50 $71.00 - $100.00 add $9.50 $101.00-$150.00 add $12.50 $ 151.00 - $199.00 add $15.00 *orders over $200.00- free shipping   Subtotal      5%Tax [MA]      Shipping      Total      Name:  Address:  City:  State:..........................................................................Zip:  Phone:  American Express  Visa  Check/Money order Discover  Mastercard  Account number:  Expiration Date:                                                                                     V-code:  Signature