Name: Date:
Address:
City/State/Zip:
Daytime telephone: E-mail address:
ORDER # DESCRIPTION QUAN. UNIT PRICE TOTAL
         
         
         
         
         
         
         
Merchandise Total:

Shipped & Insured Via:

(Signature Required)

Shipping

Charges:
$0.00 to $200.00 Us Priority Mail $10.00
$200.01 to $300.00 Us Priority Mail $12.00
$300.01 to $400.00 Us Priority Mail $13.00
$400.01 to $500.00 US Priority Mail $14.00
$500.01 to $1000.00 US Registered Mail $20.00
Merchandise Total  
Shipping Charges
(see chart at left)
Subtotal  
NJ Residents please add
7% sales tax
Total Amount Due  

Charge to my:       (  ) VISA                   (  )  MasterCard

Card Number_______________________________*Card Code________ Exp. Date___________

Signature____________________________________________

*The Card Code is located in the signature line on the back of your credit card, following the last four digits of your credit card number.
To order from this website please print out this order form and fill in all information.
Credit card orders may call or fax us at 973-300-0657 or mail in this form.
If paying by check or money order please make payable to E. Christopher and Sons and mail to:

E. Christopher and Sons
PO Box 425
Lafayette, NJ  07848

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