“JOURNEY'S END”
Gift Shop Order Form
Mail or Fax orders
to: Worldways Children's Museum
555 Spirit of St. Louis Blvd, Chesterfield, MO 63005
* (636) 207-7405 * Fax (636) 532-3750
Billing
Information
Shipping Information (if different)
| Name | Name |
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Address________________________________ |
Address___________________________________ |
Billing Preference:
____
____ Check #______________
Account
#___________________________________ Exp.
Date______/______
Print Cardholder
Name_______________________________________________
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Item # |
Description |
Qty |
Size/Color |
Weight |
Price |
Total |
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Shipping & Handling Charges (See Chart Below) |
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Sales Tax |
$00.00 |
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Grand Total |
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Shipping &
Handling Charges: - 1oz, up to 5oz
=
$1.50 - Over 1lb, up to
2lbs = $3.50
- 5oz, up to
10oz =
$2.50 - Over 2lbs, up to
3lbs = $4.00
- 10oz, up to
1lb = $3.00 - Over 3lbs, up to
5lbs =$5.00
- Over 5lbs
= $9.00 (Flat Fee)
Signature______________________________________________
Date____________________
Thank
you for supporting Worldways’ mission through your purchases!