Please print this form, complete it, and fax it to 302-338-
8041.
I would like to pay by money order (This option is only available for customers in the USA).
(NO PERSONAL CHECKS OR CASH CAN BE ACCEPTED. ORDERS WITH PERSONAL CHECKS OR CASH WILL NOT BE PROCESSED)
Please print this form, complete it, and mail it along with your money order (payable to Retrofactory) to:
Retrofactory
27 Belfort loop.
Newark, DE 19702
Shipping Information:
Name:
_________________________________________________
Address Line 1:
_________________________________________________
Address Line 2:
_________________________________________________
City / State / Zip:
_________________________________________________
Country (if outside USA):
_________________________________________________
Telephone:
_________________________________________________
Email Address*:
_________________________________________________
List of Items:
Item #:
Item Name (Including Size):
Qty:
Price / Item:
Total:
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Merchandise Total:
_________
Shipping Total**:
_________
Grand Total (Merchandise + Shipping):
_________
*Your email address will be used to send an email confirmation of your order, and product shipping notices (tracking numbers) to you.
** Shipping total is equal to:
United States:
Orders from $0.00 to $9.99 = $5.99
Orders from $10.00 to $24.99 = $6.99
Orders from $25.00 to $49.99 = $8.99
Orders from $50.00 to $74.99 = $10.99
Orders from $75.00 to $99.99 = $12.99
Orders from $100.00 to $124.99 = $14.99
Orders from $125.00 to $149.99 = $16.99
Orders from $150.00 to $199.99 = $18.99
Orders from $200.00+ = $20.99
Canada: Orders from $0.00 to $9.99 = $6.99
Orders from $10.00 to $24.99 = $7.99
Orders from $25.00 to $49.99 = $9.99
Orders from $50.00 to $99.99 = $13.99
Orders from $100.00 to $149.99 = $16.99
Orders from $150.00 to $199.99 = $18.99
Orders from $200.00 to $249.99 = $22.99
Orders from $250.00+ = $24.99
Please Note: Retrofactory.com is not liable for any Duty or Taxes due on goods at the time of delivery. That is the sole responsibility of the customer in the country concerned.
International: $14.99 - for all orders where merchandise total is $39.99 or less
$24.99 - for all orders where merchandise total is $40.00 - $99.99 $34.99 - for all orders where merchandise total is $100.00 or more.
