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ASNH Armchair Shopper Order Form

Quantity	Title	Price Each	Total
Subtotal:
Subtract 10% if ASNH Member*:
Add Shipping:
Total Amount Enclosed:

*Discount Not Available on NH Bird Records subscription or Loon Decoy

Shipping Rates - USA
Amount of Order	Cost of Shipping
$5.00 & Under:	Add $1.00
$5.01 - $15.00:	Add $2.00
$15.01 - $30.00:	Add $3.00
$30.01 - $75.00:	Add $4.00
Over $75.00:	Free

If ordering by check or credit card, please include the following:
Name:
Address:
City. State, Zip:
Phone:
If ordering by credit card, please include the following:
Card Type (Circle One):	Visa  M/C
Name on Card:
Address for Name on Card:
Account Number:
Expiration date:
Signature: