OEMTF Gift Shoppe Order Form

NAME:		PHONE:
STREET ADDRESS:		E-MAIL:
CITY:	STATE:	ZIP:

ORDER NO.						DESCRIPTION	QTY.	PRICE	TOTAL
C	2	0	0	0	1	Set of 10 Assorted Christmas Cards (2 designs - 5 each)		$15.00
N	2	0	0	0	1	Set of 12 Assorted Note Cards (4 designs - 3 each)		$15.00
H	M	P	1	0	1	Fifi Print by Heather Morris		$15.00
H	M	P	1	0	2	Ode Print by Heather Morris		$15.00
H	M	P	1	0	3	Puppy Print by Heather Morris		$25.00
S	E	T				Print Set - Fifi & Ode		$25.00
L	F	P	1	0	1	Bear Print signed and numbered by Lucie Fainsbert		$75.00
L	F	P	1	0	2	Howdy Print signed and numbered by Lucie Fainsbert		$75.00
L	F	P	1	0	3	Why Print signed and numbered by Lucie Fainsbert		$75.00
L	F	P	1	0	4	This Yours? Print signed and numbered by Lucie Fainsbert		$75.00
L	F	P	1	0	5	Puppy Match Print signed and numbered by Lucie Fainsbert		$75.00
L	F	P	1	0	6	The Guardians Print signed and numbered by Lucie Fainsbert		$75.00

Sub Total

Shipping Charge (see below)

Total

Method of Payment:

Check Credit Card (Visa/Mastercard Only)
If paying by credit card: a). complete and submit this order form and b). follow the donation link, after entering the donation amount, you will be asked to complete your credit card information.

Please do not send cash or International Money Orders. Checks must be US Dollars drawn on a US Bank payable to OEMT Foundation. Payment must be received prior to shipment of merchandise. Please allow 2 weeks for delivery.

I would like to be notified of future OEMTF events.

Make Check or Money Order payable to the OEMT Foundation and remit to:

OEMTF Ways and Means Chairperson

P.O. Box 2174

East Millstone, NJ 08875

Questions? Email Gift Shoppe Manager

Shipping/Delivery Charge
	U.S.	Canada	Other
up to $15.00	$4.95	$8.95	$10.95
$15.01 -$30.00	$6.50	$10.00	$14.00
$30.01 - $40.00	$7.50	$11.00	$16.00
$40.01 - $50.00	$8.50	$12.00	$18.00
$50.01 - $75.00	$9.50	$13.00	$20.00
$75.01 - $100.00	$10.50	$14.00	$22.00
$100.01 - $150.00	$11.50	$15.00	$24.00
$150.01 - $200.00	$12.50	$16.00	$26.00
over $200.01	$13.00	$17.00	$28.00
Prices are subject to change