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Carriage House Crafts & Collectibles
Arnold & Barbara Goodrich - Proprietors
172 Hosmer Street ~ Hudson, MA  01749
Tel. (978)568-9110 ~ Fax (978) 562-4581
    ORDER FORM
Name _____________________________ Date Ordered________________________
Address ___________________________ Contact Person ______________________
__________________________________ P.O.# _____________________________
Phone/Fax _________________________ Terms _____________________________

QTY DESCRIPTION OR ITEM NAME
PRICE
TOTAL
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*
Total of all items listed above.
SUBTOTAL
.
*
Multiply SUBTOTAL by .06 to get MASS. TAX (if applicable).
MASS. TAX
No Tax Charges
*
See Shipping Rates Below.
SHIPPING
.
*
Special Shipping Outside US. (Call)
OTHER
.
*
Add SUBTOTAL, Shipping Rates & Special Shipping Rates (if applicable)
GRAND
TOTAL
.
All shipments outside the U.S. will be billed a $2.00 handling charge and exact shipping costs. 
All amounts are for USD (United States Dollars).
We pay your tax!
Shipping Rates:
We charge $5.00 for each item.
5 items or more - Call for special rates.

Method of payment:
Check _____  Visa _____  Discover _____  Mastercard _____  AMEX _____
Credit Card #:________________________
Expiration Date: Month ____________   Year __________
Name on Card __________________________________