printableorderform

Gaia Star Printable Order Form

If you wish to mail in your order
~PRINT THIS PAGE~
Mail the completed form and payment in US Dollars to:

Gaia Star
5 Washington Heights
Meriden, CT 06451-3144
203-910-7633

Your Information:

NAME:_________________________________________

ADDRESS:______________________________________

CITY:_________________STATE:_______ZIP:_______

Shipping Address (If different than above), or to send as a gift:

NAME:___________________________________________________________

ADDRESS:________________________________________________________

CITY:__________________STATE:________ZIP:_______

If this is a gift, indicate what you would like written on an enclosed Notecard:______________________________________________________
________________________________________________________

***Note: All items are shipped priority mail***

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Please Make Check Or Money Order Payable To:

Gaia Star

All checks are held for 5 business days before shipment is made.

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Quantity Item Description Total Price
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_________________________________________________________________________________________________________

Merchandise Total:____________________

CT residents add 6% sales tax:__________

Shipping and handling:__________________

Indicate any Gift certificate or coupon amount here (please enclose with your order): __________________

Total enclosed:________________________

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Shipping and Handling Chart:

Total Charge of Order: Add:

$0.01 - $9.99 $4.25

$10.00 - $49.99 $5.00

$50.00 - $99.99 $6.50

$100.00 - $199.99 $8.00

$200.00 and up $9.50