LONGYEAR MUSEUM STORE
Order Form

Please complete form and mail to:
Longyear Museum, 1125 Boylston Street, Chestnut Hill, MA 02467
or fax 1-617-278-9003

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BILLING ADDRESS      
Name Phone
(day only)		     
Address City State Zip
SHIPPING ADDRESS       
Name Phone
(day only)		     
Address City State Zip
PAYMENT METHOD       
Make check or money order payable to Longyear Museum Store       
VISA MasterCard CC#      Exp. Date
Signature ___________________________________________________________________________________       

Quantity
Item
Description
Item Price
Total
Total Merchandise price
10% Longyear Member discount
Total after Longyear Member Discount
5% MA state tax (all orders shipped to MA)
Standard Shipping (see table below)
Express Delivery (see below)
TOTAL
Prices in effect through January 31, 2003


 

Shipping costs
Up to $8.00
$3.95
$50.01 to 70.00
$8.95
$8.01 to 15.00
$4.95
$70.01 to $100.00
$9.95
$15.01 to $30.00
$5.95
$100.01 to $150.00
$10.95
$30.01 to $50.00
$6.95
$150.01 to $200.00
$12.95
(For orders to outside the continential U.S., ask your Longyear customer service representative)

Express Delivery on most phone orders:
$6.50 additional for 2nd day air
$12.50 additional for next day air




To order call 1-800-277-8943
or 1-617-278-9000
FAX: 1-617 278-9003

Monday-Friday 9 a.m. — 4 p.m. EST
®

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