New Horizons Order Form
To order via mail, please print and complete
this order form. Mail it along with your check or money
order for the total amount due (see below), to:
New Horizons
P.O. Box 233
Arapahoe, Ne. 68922
Please make your check/money order payable to New Horizons.
Please allow 3 to 6 weeks for delivery
Please be sure that the email address listed below is correct.
In the event of a problem with your order, we will contact you
by way of e-mail. This allows us to process your order faster.
(If no e-mail address is given, we will contact you via postal mail.)
Thanks!
Customer Information:
Name: _______________________________________________
Phone Number: _________________ Fax Number: _________________
Email Address: ______________________________________________
Street Address 1: ___________________________________________
Street Address 2: ___________________________________________
City: _____________________ State/Province: _________________
ZIP/Postal Code: ______________ Country: ____________________
_____________________________________________________________
Shipping Information:
Name: _______________________________________________
(Please use the street address. Our products are shipped via
UPS. Ups does not deliver to a P.O.Box address.)
Street Address 1: ___________________________________________
Street Address 2: ___________________________________________
City: _____________________ State/Province: _________________
ZIP/Postal Code: ______________ Country: ____________________
Shipping Instructions: ______________________________________
_____________________________________________________________
Product Information:
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Item Number
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Quantity
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Item Name
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Unit Cost
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Total
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________
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_______
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___________________________
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_______
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___________________________
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___________________________
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___________________________
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___________________________
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___________________________
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___________________________
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ALL PRICES ARE U.S. DOLLARS ONLY!
Total your order here. Use the shipping and handling chart below to
figure the shipping costs. If you are ordering more then 10 items, print
a second form and add the totals of all pages together before figuring
the tax and shipping charges. Only fill out this section on the last page
of your order.
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Total Quantity
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#_________
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Subtotal
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$_________
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Tax Rate 5.5%
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Subtotal x Rate
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$_________
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Shipping
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Use Chart
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$_________
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Date / /
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Order Total
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$_________
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_____________________________________________________________
These charges represent only a part of the actual costs.
We'll pay the rest. Please use the chart below to figure
your S&H charges.
Shipping & Handling Chart:
Up to $14.99..................add $4.95 From $35.00 to $39.99........add $7.75
From $15.00 to $19.99........add $5.25 From $40.00 to $44.99........add $8.75
From $20.00 to $24.99........add $5.55 From $45.00 to $49.99........add $9.35
From $25.00 to $29.99........add $5.95 Over $50.00..................add $9.75
From $30.00 to $34.99........add $6.75
Thank You For Your Order!
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