Carver's Plus Printable Order Form

Carver's Plus Catalog
Order Form

Carver's Plus
141 West Street
Leominster, MA
01453

Telephone and Fax#
978-537-1805

Please use the Print button in your browser to print this form. Fill out the printed form, and then send or fax it with your payment. Please print clearly to avoid delays. Close this window when completed printing to return to CarversPlus.com.

Item #	Item Description	Price Each	Quantity	Price






Subtotal
Massachusetts Residents please add 5% sales tax
Shipping Charge (see chart below)
Total Amount Enclosed

If we are out of stock on any items, please check one:
Ship as soon as possible
Cancel my order
Cancel those items

Shipping Charges
for Subtotal amount .... add this charge
$10.00 - $25.00	$5.50
$25.01 - $50.00	$6.50
$50.01 - $75.00	$7.50
$75.01 - $100.00	$8.50
...over $100	$9.50

Payment Method (circle):
CHECK / MONEY ORDER / VISA / MC

** Please make check or money order payable to: 'Carver's Plus'
** All checks or money orders in US Funds only

Credit card orders, please add the following information:

Card# _________________________________ Exp. Date: ____ / ____

EXACT Name on Card: _________________________________________ ~ Thank You! ~

Signature ____________________________________________________

Name (PleasePrint):	_________________________________________________________
Phone #:	__________________________ Fax #: __________________________
E-Mail Address:	_________________________________________________________
Ship to Name (if different from above)	_________________________________________________________
Address	_________________________________________________________
	_________________________________________________________
City:	______________________	State / Province:_____________________
Zip / Postal Code:	_________________	Country: _________________