What's Up NH Mail-in Order Form

Please fill in item titles, price and quantity of each title desired.

Qty Item Title Item Price
     
     
     
     
     

Shipping Rates

Order Value USPS Priority
Up to $25.00 $5.95
$25.01 to $50.00 $7.95
$50.01 to $75.00 $10.95
$75.00 to $100.00 $12.95
$100.01 to $150.00 $14.95
Above $150.00 $16.95

Total for Order: $_______

Add $_____ for Shipping and Handling

Shipping Info

Name: ____________________________________________________

Address: _________________________________________________

City: ____________________________________________________

State: ___________ Zip: _____________

Phone: __________________

Billing Info

Card Number: __________________________________________

Expiration Date: ____________________

Money Order Enclosed: $________

Complete & Mail this form to:
What's Up NH
241 Main St.
Littleton, NH 03561

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