Form for Mail-In Ordering

Please feel free to print this page for ordering by mail.

ICSD ORDERING FORM  (1)

Total Number of Sets ordered: ( ______) (Please allow 3 to 5 weeks for delivery)

Number of Sets (____) at ($______.____) per set     = $ (________.____) (US)xxxx

                                                                   Shipping = $ (________.____) (US)xxxx

Order Total  = $ (_______._____) (US)xxxx

Deposit (minimum 1/2 of Order Total)  = $ (________.____) (US)xxxx

Balance Due (2)  = $ (________.____) (US)xxxx

(1) Please complete information on bottom of Ordering Form, and mail to:

ICSD, 953 Rivendell Lane, Sanatoga, PA 19464

or E-mail us for additional ordering information.   (Thank You)

(2) An Invoice for Full and Final Payment will NOT be forwarded Until the entire order has been received by the purchaser

Name of Organization: _________________________________________

Contact Person: _______________________   Title:__________________

Address: _____________________________________________________

City: ________________________________  State: ______  Zip: _______

___

Phone No: ____________________       Fax No: ____________________

E-mail address: ________________________________

Credit Card Name: ____________   Credit Card No: __________________

Credit Card Exp. Date: __________   Nonprofit No: __________________

Purchase Order/Invoice No.: _____________________________________

Special Handling and/or Mailing Instructions (if applicable): _________

_____________________________________________________________

NO CHARGE if delivered to a US Address

For Sets              Cost Per Set

       1

  251

  501

1001

3001

5001

  250

  500

1000

3000

5000

over

-

-

-

-

-

&

=  $ 6.95 (US) per set

=  $ 6.05 (US) per set

=  $ 5.55 (US) per set

=  $ 5.25 (US) per set

=  $ 5.15 (US) per set

=  $ 4.85 (US) per set

Thank you for your order