Windsor Tea Shop Order Form
| Customer Name: Billing Address:
Telephone: |
Shipping
Address (if different from billing address): |
|
Item Name |
Quantity | Price Ea. | Total |
|
|
Subtotal | ||
|
MA residents add 5% sales tax on non-food items |
|||
| Shipping | |||
| Total Due |
| Payment Type (circle one) please note: sorry, we do not accept personal checks. |
|
Money Order |
Visa | MC | Discover |
| Account Number: _____________________________________________Exp. Date______________ |
| Cardholder Signature:________________________________________________________________ |
Mail to:
Windsor Tea Shop
1 Pleasant Street
Cohasset, MA 02025
or fax to: 781-545-1898
|
Order Total |
Shipping Charge |
| up to $21.00 | $5.50 |
| $21.00 - $45.00 | $7.50 |
| $45.01 - $60.00 | $9.50 |
| $60.00 to $100.00 | $11.50 |
| over $100.00 | 12% of total |