FAX / MAIL ORDER FORM

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PRINT THIS PAGE and
FAX it to (631) 225-0864

or
Order by Mail
Send form with payment to:
New York Heroes Gift Shop
504 South 6th Street
Lindenhurst, NY 11757

Sold To:
Name________________________________________________________________

Address_____________________________________________________________

Address____________________________________________________________

City_________________________ State_______________ ZIP________________

Ship to: (if different from above)
Name________________________________________________________________

Address_____________________________________________________________

Address____________________________________________________________

City_________________________ State_______________ ZIP________________

Method of Payment:
Credit Card: Visa/Master____ AMEX_____Discover_____. Check/Money Order attached _______.

Card Number:/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/ Expiration Date__/__/

Signature___________________________________________ date_________________
To process your order quickly and efficiently we need both home and work phones.

Day:(      )-______________ Night (      )-____________.

Items Ordered:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________
Be sure to include Item No / Qty / Color / Size / Description and Price Ea.

Total ____________

Subtotal ___________ - NY Res add 8.25%

Shipping Total __________

Shipping charges for orders shipped within the Unites States:
Orders up to $10.00 - $2.95
Orders $10.00 to $50.00 - $5.95
Orders $50.00 to $100.00 - $9.99
Orders $100.00 to $200.00 - $14.99
Orders $200.00 to $300.00 - $19.99
Orders $300.00 to $350.00 - $23.99
Orders over $350.00, please contact us for the shipping charges.

Shipping charges for orders shipped outside the Unites States:
Orders up to $10.00 - $3.95
Orders $10.00 to $50.00 - $12.95
Orders $50.00 to $100.00 - $14.95
Orders $100.00 to $150.00 - $16.95
Orders $150.00 to $200.00 - $18.95
Orders $200.00 to $250.00 - $22.95
International Orders over $250.00 will have shipping chargers calculated by weight and will be billed seperately.

Wholesale orders will be calculated by weight.

We ship orders within 5 to 7 days via USPS Priority Mail. Orders arrive in approximately 6-10 days and sometimes much sooner. International orders may take up to 14 days.

Payment must be in US Funds (checks on a US bank or major Credit Card.)




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