TR Baby Bear Mail Order Form - from the Chincoteague Natural History Association
Instructions:
  1. Print out this form
  2. Fill in the information
  3. Determine the total cost of the items
  4. Add shipping & handling
  5. Virginia residents add  4.5 % sales tax
  6. Calculate total
 Mail to:

Chincoteague Natural History Association
P.O. Box 917
Chincoteague, VA 23336

Checks, Money Orders, Master Card & Visa Accepted
Item Quantity Price Subtotal
TR Baby Bear   8.25  
Shipping & Handling (Continental U.S.):
1 Bear = $3.50
2 or more Bears = $3.50 + $1.00 for each Bear
Example: 2 Bears = $5.50, 3 Bears =$6.50 etc.		  
Virginia Sales Tax - Virginia Residents Only (4.5 percent of subtotal plus shipping & handling)  
Total  
Credit Card Information
____ Visa
____ Master Card		 ____ Check or Money Order Enclosed
Name as it appears on the card ____________________________

Credit Card Number ____________________________________

Expiration Date (Month/Year) ________________

Signature _________________________________

Billing Address

Name

Apt. Number

Street Address

City

State & Zip

Telephone

Email

Ship to (leave blank if same as billing address):

Name

Apt. Number

Street Address

City

State & Zip

Telephone

Email