J. G. WEHMEYER ORDER FORM

You may print out this form and mail in your order.  Please print clearly

Please refer to and print the lettered text under the pictures on the display pages in the Item # row when placing your order.  Please Total these prices with the correct amount for shipping and mail a check or money order (do not send cash) to

J.G. Wehmeyer

984 State Highway 10

Stamford, NY 12167

Item #             Description / name of item             Quantity             Price per item             Price

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                                                                                                                     Subtotal      ________

                                                                                                                     Shipping      ________

                                                                                                                     Sales Tax    ________

                                                                                                                     Total           ________

SHIPPING & HANDLING CHARGES ARE:              

Orders Totaling $0-$50.00 Add $19.00                                            Please make check or

                         $50.01 - $100.00 Add $29.00                             money order payable to:

                         $100.01 0 $150.00 Add $39.00                                  J. G. WEHMEYER

                         $150.01 - $200.00 Add $49.00

                         Over $200 - Inquire

SHIP TO:  (Please type or print legibly)

Name _______________________________________________________________________

Address ______________________________________________________________________

City/State/Zip __________________________________________________________________

Telephone # _________________________________

Email Address _________________________________

SALES TAX - NEW YORK STATE RESIDENTS ONLY

New York State Residents must add applicable sales tax to your order.  IF TAX EXEMPT, PLEASE ENCLOSE A COPY OF YOUR NYS SALES TAX NUMBER WITH YOUR ORDER. IF A COPY IS NOT RECEIVED, NYS SALES TAX WILL BE ADDED TO YOUR FINAL BILL.

PAYMENT POLICY

Please make your check or money order payable to J.G. Wehmeyer.  Payment must be received before merchandise is shipped.  If sending a personal check, order will be sent when check clears the bank.

DAMAGED SHIPMENT

Your order will be well packed but in the event of any breakage, save both the box and ALL of the contents-packing material and bisque.  Notify your carrier of any breakage and contact us within 3 days from received shipment at 607-652-7630.