Boys Town Press

BOYS TOWN PRESS WEB ORDER FORM

Please print out this order form and fax to: 1-402-498-1310
or mail to: 
Boys Town Press
14100 Crawford Street, Boys Town, NE 68010.  
For Immediate Assistance Call 1-800-282-6657
Bill To:

Name ____________________________
Title ____________________________
Organization ________________________
Address __________________________
City, State, Zip _______________________
Phone Number _____________________
Fax ______________________
Email Address _______________________
Method of Payment
(Check One)

Your Business Purchase Order or Method of Prepayment is Required.

Check (Payable to Boys Town Press)
Money Order
Company Purchase Order Attached

Master Card Visa
Discover American Express

_________________________________
Credit Card Number

_________________________________
Expiration Date

_________________________________
Signature
Ship To: (UPS will not deliver to a PO Box)

Name ____________________________
Title ____________________________
Organization ________________________
Address __________________________
City, State, Zip _______________________
Phone Number _____________________
Fax _______________________
Email Address _______________________
Quantity
Order No.
Description
Price
Total
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Merchandise Total
 
 
 
 
 
Shipping (See chart below)
Subtotal
NE residents add 5.5% sales tax
TOTAL

Merchandise Total
Shipping Charges
       
  Regular
Delivery		 2-Business
Day Air		 1-Business
Day Air
Total is: Add: Air Add: Air Add:
Up to $49.99 $5.00 $12.00 $25.00
$50.00 to $74.99 $6.50 $16.00 $30.00
$75.00 to $99.99 $8.50 $19.00 $35.00
$100.00 to $149.99 $10.50 $25.00 $40.00
$150.00 to $199.99 8% 17% 27%
$200.00 to $499.99 7% 16% 26%
$500.00 and up 6% 15% 25%