Nate's Nantuckets, Inc. Order Form

Quantity	Item Description	Price	Total










Become a "Basket Shop Discount Club Member" for 1 yr		$15.95
		Shipping
		Total

Circle Method of Payment: Check/Money Order Master Card Visa

Name:________________________________________________

Address:______________________________________________

______________________________________________

Phone:_______________________________________________

Credit Card #:_________________________________________

Expiration Date:_______________________________________

Signature:____________________________________________

Shipping and Handling:

Up	to	$20.00	add	$5.00
$20.01	to	$40.00	add	$5.50
$40.01	to	$60.00	add	$6.00
$60.01	to	$80.00	add	$7.00
$80.01	to	$99.00	add	$8.00
$99.01	to	$150.00	add	$9.00
$150.01	and	over	add	$10.00
Sorry, No COD's Additional Postage Required for Shipping Molds

Shipping: We ship by US Priority Mail. Additional shipping may be added to orders outside the continental states.

Mail To:
Nate's Nantuckets, Inc.
17 Waterloo Street
Warner, NH 03278

Phone & Fax: (603-456-2126)