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Print this page, then fill in the blanks for the titles you wish to order plus all of the shipping information. If using a credit card, indicate the type, number, and expiration date. The form may be faxed to 605-745-7021, or called in to 605-745-7020 if ordering by credit card. If using personal or company check, mail to address at the bottom of this form.
First name: Initial Last Name
Ship to Address:
City: State: Country: Zip Code: -
Day time phone number: ___________________________________________
Email address(s)_________________________________________________
Type of card ___ Master Card ___ Visa ___ Discover _____Am. Express
Card #: - - - Expiration Date /
Signature
Quantity Title Price Amount
Subtotal
Members deduct 15% discount less ( )
Shipping (from below) (Forest & National Geographic maps are $2.00 first map, plus $1.00 for each additional map)
Subtotal (subtotal, less discount, plus shipping)
South Dakota Residents add 5.5% tax (subtotal * .055)
Membership (see Membership Page for amount)
Total
Postage and handling charges (valid in U.S.A.only)
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Up to
$3.00....................................................$2.50 |
Mail form to:
Black Hills Parks & Forests
Association Fax to: 605-745-7021 |
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Copyright Black Hills Parks & Forests Association
Last revised:
April 06, 2010