Order Form

PALISADES AMUSEMENT PARK HISTORICAL SOCIETY - ORDER FORM

Ship-to Address:

Your Name: __________________________________________________

Street: _____________________________________________________

City, State, Zip: ______________________________________________

Phone # (optional): ___________________ e-mail address (optional): ________________

Qty.	Item	Unit Price	Extension
______	PAP: A Century of Fond Memories (paperback book)	$ 24.99	_________
______	Palisades DVD	$ 24.95	_________
______	Swimsuit poster (folded)	$ 4.00	_________
______	Fond Memories poster (folded)	$ 6.00	_________
______	Fond Memories poster (Signed/Numbered Artist's Proof)	$ 28.00	_________
______	Summer Mesh Cap (circle color preference) Gold \| Gray	$ 9.95	_________

Merchandise Subtotal _______________

Add shipping and handling rates (see chart below) _______________

Subtotal _______________

NJ shipments must add 7% sales tax to total order _______________

TOTAL ____________________

SHIPPING & HANDLING RATES:

Up to 9.99 = $6.95

$10 TO $49 = $7.95

$50 TO $99 = $8.95

$100 TO $199 = $9.95

Over $200 = $10.95

Enclose payment in USA funds, payable to the Palisades Amusement Park Historical Society.

Send Money Order for quickest delivery!

Mail to:

THE PALISADES AMUSEMENT PARK HISTORICAL SOCIETY
24 Park Street
Little Ferry, NJ 07643

We appreciate your business! Hopefully we can serve you again in the future!

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