Alpine Club Of Williamsport, PA

Official Order Form (please print in 'Landscape' orientation and mail to order)
   Please print neatly

Name ___________________________________________

Mailing Address ___________________________________

 ________________________________________________

City/Town _______________________________________

State ______________________ Zip Code ____________

Phone Number ____________________________________

E-mail address ____________________________________

  

Items to Purchase (include amount of each item)

$_________ LT Trail Guide (with maps) $10.00 each
(20% discount per Guide for 10 or more)

$_________ LT Patches $2.00 each

$_________ LT Blazes $0.25 each

$_________ Shipping & Handling Charge
$2.25 per LT Guide and $0.40 per LT Patch
($8.00 for 10 or more LT Trail Guides)
 

  
    $_______________ Subtotal
(add all amounts above)		  
   





 


$_______________ 6% PA Sales Tax (PA residents must pay 6% tax on subtotal, which includes shipping/handling)

$________________ Total amount due 		 
 

Make Checks payable to: Alpine Club of Williamsport. Orders to be shipped outside of PA, and wholesalers and organizations in PA that have a tax-exemption number, can omit PA Sales Tax.  For organizations in PA with a tax-exemption number, please send a copy of your Sales and Use Tax Exemption Certificate if this is the first time you have ordered from the Alpine Club.

Mail this form with your check to: Alpine Club of Williamsport
  PO Box 501
  Williamsport PA 17703