Harper House & Timberpond Press
                                                               Order Form
                                                       2100 Green Bridge Ln.
                                                     Hanover Park, IL 60133
                             Email: mjak88@comcast.net   Website: www.longago.com

Date: Payment Method: _____check or money order

Name:       Other countries: US funds by international 
money order or credit card only.

Address:  Visa_____ MasterCard_____ Discover_____
Card Number:
Expiration Date:
Last 3 digits from signature line on back of card_________

Telephone: (necessary in case of a question)                             Signature:
 

ITEM NUMBER QUANTITY DESCRIPTION PRICE EACH TOTAL
         
         
         
         
         
         
         
         
         
         
         
         
                                                                                                                         
                                SUBTOTAL  
SHIPPING CHARGES FROM CHART BELOW  
                                      
IL RESIDENTS ADD 7.25% STATE SALES TAX  
TOTAL ENCLOSED IN US FUNDS ONLY  
 
Regular shipping and handling charges for US orders only:    For international orders:
Up to $20.00               $5.00 Our overseas orders are shipped by US Postal Global
$20.01 to $35.00         $6.25  Priority Mail, which costs $9.50 for packages weighing
$35.01 to $45.00         $7.50   up to 4 pounds. Over 4 pounds, we will charge 
$45.01 to $60.00         $8.75   the actual shipping cost, plus a $1.00 handling fee. 
$60.01 to $75.00       $10.00   Please feel free to email us at mjak88@comcast.net
Over $75.00              $11.25  to learn the cost of shipping.
Privacy policy - We will never share any of your private information with any other company or individual.