Archie McPhee® Order Form

Print this form, fill it out, and fax or mail it to us. For best printing, set your browser's font size to default (12) or Medium.

Source: 4WW
Archie McPhee® and Company
P.O. Box 30852
Seattle, WA 98113
Fax: (425) 349-5188
Phone: (425) 349-3009
Your Mailing Address and Shipping Address (if different):

_______________________________       ___________________________________

_______________________________       ___________________________________

_______________________________       ___________________________________

_______________________________       ___________________________________

_______________________________       ___________________________________

_______________________________       ___________________________________

Your e-mail address:

Telephone number:(with Area Code)

Gift message:

Payment Information (circle one):
Check     Money-Order     Visa     MasterCard     Discover

Card Number:

Expiration Date:

Signature:

Shipping (circle desired method): UPS Ground or Post Office

Shipping Charges
Merchandise Total Standard 2-Day Overnight
$0.00 - $15.00$4.95$14.95$19.95
$15.01 - $30.00$6.95$16.95$21.95
$30.01 - $45.00$8.95$20.95$27.95
$45.01 - $75.00$10.95$22.95$29.95
$75.01 - $150.00$12.95$29.95$49.95
$150.01 - $300.00$15.95$39.95$59.95
$300.01 and up$25.95CALLCALL

The important stuff:
List item number, quantity, description, and price for each item. If you need to continue on another page, please do!

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Item # __________   Description _____________________________________________   Quantity _______   Price ea. ______   Total ______

Totals:
Merchandise:
Shipping and Handling:
Subtotal:
Sales tax (WA state 8.6%):
(Washington state shipments only)

Total Amount: