Water Worm Mail Order Form
Please fill-out, print, and mail this form with your Check or Money Order.
Shipping to the U.S. is FREE. For orders less than $50.00, shipping is via First Class mail. Orders $50.00 or more receive FREE shipping via US Priority Mail. For Priority shipping of orders to the U.S. of less than $50.00, please select US Priority Mail under "Shipping Method" for $5.75 additional.
Canadian orders need to add $3.50 for Airmail. All other foreign orders need to add $7.50 for orders of 1-5, $10.50 for 6-10, $13.00 for 11-15. For Global Priority Mail or domestic Express Mail, please call or e-mail. Washington State residents need to add 9.0% Sales Tax.Please select quantity of Regular (from drop down menu) and/or Extra Long Water Worms, shipping and payment method and add other information:
Regular Water Worms ......................................................................... $
Extra Long Water Worms .................................................................... $
Please call or e-mail for pricing of more than 50
Color Preference(s) : (if left blank you will receive a variety)
Your name:
Ship to name, if different:
Address:
City: State: Zip:
Country:
E-mail: (to confirm when order has been shipped)Shipping Method:......................................
Sub-Total ........................................................................................... $
WA Sales Tax 9.0% ............................................................................ $Total Cost of Order .......................................................................... $
Payment Method Payable to: Peter Jeming*
*We now receive so few mail orders, it was no longer not economic to maintain an account to receive checks payable to Polymath Company. Thanks for your understanding.
Now PRINT this Form (using "File, Print"), or Clear to redo:
Mail Form and Payment to:
Peter Jeming
dba Polymath Company
5221 SW Jacobsen Rd.
Seattle, WA 98116-4352
Telephone: (206) 935-4844
e-mail: vjpj@juno.com
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