Pewter Manor Order Form

This form is for use within the United States only.

-- Print this page.
-- Print all information clearly.
-- Send with payment (check or money order)) to:

Richard or Gina FioRito
2057 Saratoga Drive
Greenwood, IN 46143-6372

Payment should be made out to Richard or Gina FioRito, and not Pewter Manor

If you need more space for your order, please make additional copies of this form.

If you have not done so, please read our  Ordering Instructions.

Item Number

Item Description

Price

Quantity

Total

         
         
         
         
         
         
         
  Sub Total       
  INDIANA RESIDENTS add 7% sales tax       
  Shipping (calculated from chart below)       
  Total       
If something is out-of-stock, may we substitute a similar figurine of equal or greater value?  ___YES ___NO
Name:
Address:
City:                                                                     State:                                  Zip:
Phone Number
E-Mail Address (to confirm your order):

---THANK YOU FOR YOUR ORDER---


All information is confidential.    It will never be sold or otherwise shared with third parties.


   Insured Shipping Fees within the United States are:

   Orders up to $25.00 . . . . . . . . . $ 7.75
   $25.01 to $75.00 . . . . . . . . . . . .$10.25
   $75.01 to $150.00 . . . . . . . . . . .$12.50
   $150.01 to $200.00 . . . . . . . . . .$17.00
   $200.01 and above . . . . . . . . . . $21.00

   CHESS SETS SHIPPING FEES ARE NOTED BELOW:

   Chess Set with 12" Board . . . . . $17.00
   Chess Set with 17" Board . . . . . $20.00

Shipping charges for orders above $200.00 are done on an individual basis and depend on the weight as well as the total dollar amount.  If you're placing a large order, PLEASE notify us first so you can find out what the shipping charge will be.  If you place a large order without notifying us first, we reserve the right to send you a payment request for the additional monies due for shipping or to refund your payment.


    INTERNATIONAL CUSTOMERS must contact us first for a shipping quote.
   International Orders are shipped with US Global Priority Mail or Air Parcel Post.

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