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Emily’s Books
7
Perley Ave.
Ipswich, MA
01938
Phone/Fax:
(978) 356-5186
ORDER FORM
To order books, please fill out this form and send,
along with payment to the address shown above. Please send a check or money order for the
full amount; sorry, we do not accept credit cards. Please do not send cash.
SHIPPING INFORMATION
Customer Name:_________________________________________________________________
Street Address:_______________________________________ Apt.
No.____________________
City/Town:_________________________________
State:___________
Zip:________________
Daytime Phone:_________________________
Nighttime Phone:__________________________
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BOOK TITLE (please use complete title)
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Qty
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Price
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Total
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Out of
Stock Instructions
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Subtotal
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Cancel
all Back Orders
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Shipping (see chart)
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Keep Back Orders for:
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Subtotal (order + shipping)
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30 Days
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Sales Tax (5% MA only-sorry, shipping is taxable)
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60 Days
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TOTAL (send this amount)
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120 Days
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U.S. SHIPPING CHARGES
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If Subtotal of Order is
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Add
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If Subtotal of Order is
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Add
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Up to $10.00
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$3.10
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$40.01 to $60.00
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$6.75
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$10.01 to $20.00
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$4.90
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$60.01 to $80.00
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$7.80
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$20.01 to $40.00
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$5.90
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$80.01 to $100.00
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$8.50
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Over $100.00
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$9.90
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