mailorderform

GILSON SCHOOL FOUNDATION

“Linking Education—Yesterday and Today”

1264 Hamilton St.

Gilson, IL 61436

MAIL ORDER FORM

Please print name and full street address to ensure delivery

Ship To:

___________________________________________

Address:___________________________________________

___________________________________________

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Quantity

Item / Description

Price Each

Total

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Sub-Total________

Shipping & Handling________

Amount Enclosed_________

Shipping & Handling Charges

Up to $20 order $5.00

$20.01 to $40 $7.00

$40.01 to $60 $9.00

$60.01 to $80 $11.00 THANK YOU FOR YOUR SUPPORT!

$80.01 to $100 $13.00

$100.01 & over $15.00

Send check or money order to: Gilson School Foundation 1264 Hamilton Street Gilson, IL 61436