ORDER FORM
Please print out this form to use if you wish to mail an order to:

CAVERS CONNECTION
16 WEST GREEN ST,
SHIREMANSTOWN, PA.
17011
       
Order Placed By Order Ship To (If Different)
   

Name___________________________
Address__________________________
City_______________________
State_____Zip_______________
Daytime Phone___________________

Email Address ___________________________

Name_________________________
Address_______________________
City_______________________
State_____Zip_______________
Daytime Phone___________________

Email Address _________________
         

Important
Occasionally we may be out of stock on a variety. Please let us know how you would like us to handle this.

Substitute Item_____ Back Order Item_____ Delete Item_____ Call Me_____
         
Item #
Qty
Description
 Price Each Total Price
_______ _______

________________________________

 __________ ________
_______ _______ ________________________________ __________ ________
_______ _______ ________________________________ __________ ________
_______ _______ ________________________________ __________ ________
_______ _______ ________________________________ __________ ________
         
LIST PRICE --------------->SHIPCOST

$0.01- $20.00 -----------> $4.95
$20.01-$40.00 ----------> $5.95
$40.01-$65.00 ----------> $6.95
$65.01-$85.00 ----------> $7.95
$85.01-OR MORE -------> $8.95

Shipping & Handling__________
Sub Total___________________
PA Sales Tax 6.0%___________
(Pennsylvania Residents Only)
Check/Money Order (Payable to Cavers Connection)


TOTAL DUE:___________________