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The Seashore Trolley Museum - Store Order Form Please PRINT this form, and use it to submit a Mail or Fax order, or mail it by U.S. Mail as a confirmation of an E-Mail order. PLEASE NOTE: THIS FORM CANNOT BE DIRECTLY TRANSMITTED AS AN ATTACHMENT TO AN E-MAIL, IT MUST BE PRINTED, THEN FILLED OUT, AND EITHER FAXED, OR MAILED BY U.S. POSTAL SERVICE. |
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Your Name (Please Print) _________________________________________________Date________________
Ship To: Street _________________________City______________________ State_____________ Zip______
Mailing Address (If different) Street ______________________City________________ State ______ Zip _______
E-Mail Address ______________________________________ Telephone Number ( ) _______ - ________
Museum Membership # _______________ Needed only if you are a member.
If you need more lines to complete your order, print a second copy of this form, & staple it to the first copy.
| Quantity | Description | Item Price | Item Total |
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Subtotal |
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Museum Member Discount: (Must Indicate STM Member Number Above) 10 Percent |
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Residents of Maine and Massachusetts add 5.0 Percent State Sales Tax |
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Shipping Charges |
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Total Due |
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Please enclose a Credit Card Number, Check, or Money Order. If using a credit card, please fill in the following:
Credit Card Type - Please Check One: [ ] Master Card [ ] Visa [ ] Discover [ ] American Express
Card No. _________________________________ Expiration Date ____/______ Verification # ________*
* A three or four digit number usually found on the right side of the signature space on back of card.
Name on Credit Card: ________________________________ Signature ________________________________
Thank you for your order, and your continued support of our museum! PLEASE MAIL YOUR ORDER TO:
Seashore Trolley Museum Store
P. O. Box A
Kennebunkport, ME 04046-1690
Back To: Museum Store Index Page
Back To: Seashore Trolley Museum Home Page
