Gift Shop Order Form

print	Switzerland County Historical Society PO Box. 201 Vevay, In. 47043	back
	812 427 2560

Address	Shipping Address (if different)
Name:	Name:
Address:	Address:
City:	City:
State: Zip:	State: Zip:
Phone:	Phone:
E-mail:	E-mail:

	*Item Description*	#	*Price Per*	*Total*
1
2
3
4
5
6
7
8
9
10
Items Total
Shipping & Handling (see chart below)
Sales Tax (7%)
Total Amount

Shipping & Handling		Please enclose check or money order for total amount. * We do not accept credit card orders by mail. Please call for credit card orders. The society does not sell or share customer information. Thank You for Your Order
Order up to $25.00	$6.95
$25.01 to $45.00	$8.95
$45.01 to $65.00	$10.95
$65.01 to $85.00	$12.95
$85.01 to $105.00	$14.95
$105.01 to $125.00	$16.95
$125.01 to $145.00	$18.95
$145.01 to $165.00	$20.95
$165.01 to $185.00	$22.95
Over $185.00	10% of order