HLPS - Gift Shop Order Form

Part 1, Order

1.
2.
3.
4.
5.
6.
Not a Florida resident or not a Florida ship to address, check here	========
Subtotal:
FL 6% sales tax:
Add shipping & handling, see chart:
TOTAL AMOUNT DUE in U.S. DOLLARS:

Part 2, Shipping
Name:
Business Name (if applicable):
Address:
City:
State:	Zip:
Phone (area code + number):
E-Mail Address:
Shipping address if different from above
Address:
City:
State:	Zip:
Payment Method in US dollars:	Check Money Order // No credit cards //
Special instructions/Comments:

attach remittance & mail.