Please Ship The Following Order To:

Name:

Street or P.O. Box:

City/State/Zip:

Home Phone (Including Area Code):

Work Phone (Including Area Code):

Description of Item

Quantity

Price of Each

Total for Item

 Merchandise Subtotal:

Please Add N.C. Sales Tax of 7%: General Stock, Gifts

Please Add N.C. Sales Tax of 2%: Food Items-Only

Shipping (See Chart)

Total

Payment Method: (Please Do Not Send Cash)

_____Visa

_____MasterCard

_____Check/Money Order

Credit Card Number:

Expiration Date (Month/Date/Year):

Signature:

Print Name As It Appears On Credit Card:

 NOTE! Sales Tax: 7% general merchandise, But Only 2% on Food  Products