Order Form

Polish Treasures Order Form

Name:

Address:

City:

State/Province:

Zip Code:

Country:

Phone Number:

Email Address:

Ship To Address, if different from above:

Name:

Address:

City:

State/Province:

Zip Code:

Country:

Item Number:	Item Quantity	Item Description	Price Each	Total Price:






			Merchandise Total
		Maryland Residents Add 5% Sales Tax.	Sales Tax
			Shipping
			TOTAL AMOUNT DUE

Shipping and Handling With in the United States

$0.00 to 24.00 $8.95

$25.01 to 50.00 $10.95

$50.01 to 80.00 $12.95

$80.01 to 100.00 $14.95

$100.01 to 150.00 $16.95

$150.01 to 200.00 $18.95

$250.01 to 300.00 $23.95

International Shipping Rates apply to all items that are shipped out side of the United States, at time of processing you will be notified by e-mail after the rate has been calculated.

Heavy or oversized items are subject to additional shipping and handling charges you will be notified when this applies.

Insurance

If you want insurance add the amount from the table below, if its not insured and your articles are damaged we are sorry but there is nothing we can do about it. We recommend getting insurance due to the fact we have no control after your order leaves us on its way to you.

A word about insurance

if you are ordering something that will break or might get damaged we suggest that you insure them. Insurance cost are small. We ship your item in good shape, but sometimes things get damaged in the mail. If you do not insure it and it arrives damaged there is nothing we can do about that, and we are sorry but you should have taken the insurance.

Express Shipment

Express Shipment charges are higher than that listed on the chart above. In the shipping block type the word express and upon receiving your order we will call or e-mail you with the charge for the express shipment. See Christmas orders for more information.

Insurance Rates

$0.01 to $50.00	$1.65
50.01 to 100.00	2.05
100.01 to 200.00	2.45
200.01 to 300.00	5.50
300.01 to 400.00	6.40
400.01 to 500.00	7.30

Payment

Credit Card

Credit Card Type:

Credit Card Number:

Expiration Date:

Name of Cardholder:

Security Code from back of card, last three digits on the signature line: Security Code:

Check or Money Order

If paying by check or money order, send payment to:

Polish Treasures Inc.

429 South Chester Street

Baltimore, Maryland 21231

410-563-8760

fax 410-342-7105

Terms

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