Order Form
 
Shipping Information:
 
                     Your Name:                                                         
 
               Street Address:                                                         
 
                      City/Town:                                                         
 
                        Zip Code:                                                           
 
        
Contact Information
 
               In case we need to contact you in regard to your order, please
          provide the following:
 
                  Email Address:                                                            
 
 
Items Being Ordered:
Merchandise Total               $                  
 
Shipping and Handling          $                  
 
Maine Residents Only
Please Add 5% Sales Tax      $                  
 
Total                                   $                  
                
                         Description
 
    Color     
 
  How
  Many    
 
   Price
   Each      
    Total
    Price        
1.                                                                                                   
                                                                  
        
2.
 
        
3.
 
        
4.
 
        
                           Rocky Shore Miniatures
Mail To:         172 Rocky Shore Drive
                      Orrington, Maine 04474