Girl Scouts of Southwest Georgia, Inc,

515 Pine Avenue

Albany, GA 31701

229-432-9188 or 1-800-448-4762 Fax 229-432-7044

 

 COUNCIL SHOP  ORDER FORM

 

 

Name

Day Phone

Night Phone

Mailing Address                                                                        City                          Zip

  

QTY

CATALOG NO.

ITEM DESCRIPTION/COLOR

 

SIZE

 UNIT PRICE

TOTAL PRICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shipping & Handling*

Up to 5 pounds - $4.45

Up to 10 pounds - $7.50

Please call for S & H charges for  large orders

 

*Badge/Patch orders shipped free of charge

For office use only:

 

Received _________

                 Date

 

Ordered  _________

                   Date

 

Filled      _________

                Date 

Total Ordered

 

Add 7% Sales Tax

 

Shipping & Handling*

 

Total Amount Enclosed