“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)

Billing Preference:   ____         ____           Check #______________  
Account #___________________________________   Exp. Date______/______
Print Cardholder Name_______________________________________________
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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!