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 made out to Richard or Gina FioRito) to:

Richard or Gina FioRito
1283 Worcester Drive
Greenwood, IN 46143

Payment should be made out to Richard or Gina FioRito.

Please note that sending a check will delay your order by up to 10 business days.

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 (just in case)

E-Mail Address (so we can 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 $25.00 . . . . . . . . . .$ 8.50
   $25.01 to $75.00 . . . . . . . . . . . .$13.25
   $75.01 to $150.00 . . . . . . . . . . .$17.50
   $150.01 to $200.00 . . . . . . . . . .$21.25
   $200.01 and above . . . . . . . . . . $27.00

Please NOTE: Shipping to US territories will cost a little more. Please check with us before ordering.

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.

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 made out to Richard or Gina FioRito) to: Richard or Gina FioRito 1283 Worcester Drive Greenwood, IN 46143

Item Number

Item Description

Price

Quantity

Total

This form is for use within the United States only.

-- Print this page.
-- Print all information clearly.
-- Send with payment (check or money order made out to Richard or Gina FioRito) to:

Richard or Gina FioRito
1283 Worcester Drive
Greenwood, IN 46143