Order Form
If you have any questions,
please email me at [email protected]
or call (717)724-2834
Please print out this
order form and send with a check or money order to
Caldwell Memorial Markers
45 Jackson Street
Wellsboro, PA. 16901
Be sure to include all
information...
Name ____________________________________________
Street Address _____________________________________
_________________________________________________
City___________________
State __________ Zip _________
The markers are sent UPS,
so a street address is necessary!
If you would rather it
was sent through the US postal service,
please specify.
Allow 2-3 weeks for delivery.
Qty.
Price Each Total
_______ DUI marker
$34 _______
(Forever Remembered Flag included)
_______ DWI marker
$34 _______
(Forever Remembered Flag included)
_______ Forever Remember
Flag
$6 _______
Shipping & Handling (see chart below)
_______
Under $30 - add $4
$30-$100 - add $6
$100 and up - add $10
TOTAL _______
Please make check payable
to "Caldwell Memorial Markers"
Caldwell Memorial Markers
are non taxable
patent # Des. 376,890
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