Hartford Connecticut Order form

HELLS ANGELS HARTFORD CONNECTICUT

Print and Complete this form and mail it with your payment to the below address. Be sure to print your Ship To address clearly. Payment by Money Order or Cashier's Check in US funds ONLY. Please No Personal checks. Allow 2-4 weeks delivery.

PRODUCT	ITEM #	SIZE	QUANTITY	PRICE EACH	TOTAL US$
Example Product	ex-pr001	xxl	2	$20.00	$40.00

SUB-TOTAL
Connecticut Residents Add 6% Tax
(no charge for Stickers or patches) Shipping & Handling (See below for charges)
Grand Total

Within Continental U.S. see shipping charges table. Outside Continental U.S. add 25% of total order.

Make Money Order/Cashier's Check payable to: Capitol City Production

Mail To: P.O. Box 340208, Hartford, CT 06134

	SHIPPING and HANDLING CHARGES
Indicate SHIP TO Address:	Total	Shipping and Handling Cost
	Up to US $25	US $5.00
	US $25.01-US $50.00	US $6.50
	US $50.01-US $75.00	US $8.00
	US $75.01-US $100.00	US $9.50
	US $100+	US $12