collectorscorner.org store: Printable Coin Supply Order Form: REV, 11/1/2021

PLEASE PRINT ---- _E-Mail Address: _____________@_____________________

NAME:_______________________________________________

ADDRESS:____________________________________________

CITY:____________________________STATE:___________________ZIP:__________________

ITEM NUMBER DESCRIPTION QUANTITY PRICE@
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SUB-TOTAL___________
SALE: Take Extra 10% off your order____________
N.J Residents, please add 6.625 % sales tax on orders ___________
SHIPPING & HANDLING: see below Left ___________
Map & Oak Frame Orders: Weight & Oversized add Extra $5.00___________
OUT of U.S.A. (Canada $30.00) Over Seas ($65.00) + Standard postage above___________
( _ ) Check - - ( _ ) Money Order
Credit Card: Go to PayPal.com, payment to; webmaster@diskworks.com

U.S Funds Only:.......TOTAL INCLOSED_______________

UN-USED POSTAGE WILL BE REFUNDED

ON-LINE ORDERS: Credit Card payment to our pay-pal account, just be sure to add in the postage..

POSTAGE: Un-Used postage will be Refunded
Up to $9.99 add $7.50
$10.00 to $16.99 add $10.50
$17.00 to $24.99 add $13.50
$25.00 to $49.99 add $16.50
$50.00 and up add $19.50
All Large Oak Frame Orders: Add $5.00 extra
 

E-Mail orders to: biff@diskworks.com

Pay-Pal payment to: webmaster@diskworks.com

Checks / Money Order: payable U.S Funds only:
 
Disk Works of South Jersey
c/o: Ralph Johnsonbaugh
608 W. Piney Hollow Road
Williamstown, New Jersey 08094