AT THIS TIME ALL FORMS CAN BE FILLED OUT BUT MUST BE COPIED AND EMAILED OR PRINTED AND FAXED.
| Girl Scouts - Zia Council, Inc | All Orders must be placed in writing and pre-paid with check or credit card. Please allow 2-4 weeks minimum to process your order. Thank you | |||||||||||
| PO Box 1328 | ||||||||||||
| Artesia, NM 88210 | ||||||||||||
| 800-734-9846 * (505)746-9846 | ||||||||||||
| Fax: (505) 746-4932 | Troop # (5 digit) | |||||||||||
| E-Mail your order to dbailes@zia.org | Name: | |||||||||||
| Method of Delivery (Please check one) | Address | |||||||||||
| Mail via USPS (please see charges below) | City | |||||||||||
| I will pick up when ready | State | Zip | ||||||||||
| Zia staff will pick up on_____________ | Phone # | |||||||||||
| Page # | Item # | QTY | Description | Price Each | TOTAL | |||||||
| Subtotal | ||||||||||||
| NO RETURNS PAST 15 DAYS-NO EXCEPTIONS | Shipping and Handling | |||||||||||
| Shipping & Handling | Credit Card Information | Total Order | ||||||||||
| $3 for every book shipped Plus | Credit Card # | |||||||||||
| Under $25 plus 10% | ||||||||||||
| $25-49 plus $4.75 | Date of expiration | ZIP | ||||||||||
| $50-$74 plus $6.00 | Name as it appear on card (Please print) | |||||||||||
| $75-$99 plus $7.50 | ||||||||||||
| $100 & Over plus $10 | Signature. | |||||||||||
| Date order shipped________________ | Picked up by_____________________Date_____________ | |||||||||||