Ordered By

Ship To

Name:   Name:  
Company:   Company:  
Mailing Address:   Street Address:
(no P.O. Boxes)		  
City, State, Zip:       City, State, Zip:      
Telephone & Fax:     Telephone & Fax:    
Email:   Email:  

PAYMENT INFORMATION

O-MasterCard | O-Visa | O-American Express | O-Discover

Cardholder Name

 

Cardholder Signature

 
Card Number  
Expiration Date  
If VISA, what are the 3 digits printed on the back of the card following the credit card number?  
Credit card billing address

 

 

 

O-Check or money order enclosed

Quantity Description Unit Price Total
       
       
       
       
       
       
       
       
       

Mail This Order Form To:
The Map Shop
P.O. Box 1602
Greenville, SC 29602

or call us: (864) 271-6277
toll free: (888) 571-6277
fax: (864) 235-7031

email: orders@themapshop.com

Subtotal

 

SC Residents Add 5% Sales Tax

 

UPS Ground Shipping/US
$10.00 and under = $4.50
$10.01 - $30.00 = $5.75
$30.01 - $75.00 = $7.50
$75.01 - $150.00 = $9.75
$150.01 - $250.00 = $14.50
$250.01 - $500.00 = $15.75
Over $500.00 = $18.50

 
If oversize, add $3.50
If C.O.D., add $6.00
  

TOTAL