Please print this form and mail with payment to:
Gil Gilpatrick
PO Box 461
Skowhegan, Maine
04967
Name: _____________________________________________________________
Street Address: _______________________________________________________
City: _____________________________ State: ________ Zip: _______________
| Quantity | Title | Price | Total |
| _______ | Building a Strip Canoe | $11.95 | $ |
| _______ | Building Snowshoes | $11.95 | $ |
| _______ | Allagash | $15.00 | $ |
| _______ | The Canoe Guide's Handbook | $10.95 | $ |
| _______ | Allagash/ St. John Map & Guide | $4.95 | $ |
| Sub-Total | $ | ||
| Special Instructions / Comments: | Add 6% Sales Tax for Maine Addresses |
$ | |
| Shipping:Book rate - $2.00; Priority Mail - $4.00 |
$ | ||
| Shipping to Cananda: (book rate) - $3.00; other countries - $4.00 |
$ | ||
| Total Enclosed: | $ | ||
| Method of Payment: | Credit Card Information: (no credit card orders under $10) |
| ___Check ___Money Order ___Mastercard ___Visa |
Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration Date _____________________ Cardholder's Name (please print) _________________________ Cardholder's Signature __________________________________ |
Thank you for your order.