<p> W12849 West Lange Rd. Fairchild, WI 54741 Phone: 866-651-6472 Fax: 715-334-2014 E-mail: HYPERLINK "mailto:[email protected]" [email protected] Website: HYPERLINK "http://www.musicforgifts.com" www.musicforgifts.com</p><p>WOODSTOCK CHIMES ORDER FORM Minimum order $100.00. Call for orders over 20.</p><p>Date: FORMTEXT SHIPPING ADDRESS (if different)</p><p>Name: FORMTEXT Name: FORMTEXT </p><p>Company: FORMTEXT Company: FORMTEXT </p><p>Address: FORMTEXT Address: FORMTEXT </p><p>City: FORMTEXT State: FORMTEXT Zip: FORMTEXT City: FORMTEXT State: FORMTEXT Zip: FORMTEXT </p><p>Telephone #: FORMTEXT Fax #: FORMTEXT Telephone: FORMTEXT Fax: FORMTEXT </p><p>Email: FORMTEXT Email: FORMTEXT </p><p>Have you ordered from us before? FORMCHECKBOX Yes FORMCHECKBOX No Chime Selection: Select your Windchime</p><p>Name: FORMTEXT Qty: FORMTEXT X $ FORMTEXT = $ FORMTEXT Name: FORMTEXT Qty: FORMTEXT X $ FORMTEXT = $ FORMTEXT </p><p>Name: FORMTEXT Qty: FORMTEXT X $ FORMTEXT = $ FORMTEXT </p><p>Name: FORMTEXT Qty: FORMTEXT X $ FORMTEXT = $ FORMTEXT </p><p>SubTotal: ...... $ FORMTEXT Sales Tax: (WI only) SubTotal $ FORMTEXT X 5.5% = $ FORMTEXT Shipping: First Chimes: ($4.50) $ 4.50 Each additional chime $1.00 each Additional Qty (over 1): FORMTEXT x $1 $ FORMTEXT Residential Shipping: ($3.00 charge) $3.00 : $ FORMTEXT </p><p>Total: ...... $ FORMTEXT PAYMENT METHODS: VISA FORMCHECKBOX , MASTERCARD FORMCHECKBOX , AMERICAN EXPRESS FORMCHECKBOX , or CHECK FORMCHECKBOX (check one) Credit Card #: FORMTEXT Exp: FORMTEXT or Check #: FORMTEXT </p>