The Senti-Metal Silver Restoration Company - Order Form
| Ordering Instructions: | |
| 1. Print out this blank form by selecting "Print" from the "File" menu. | 4. Wrap each piece separately with newspaper and pack plenty of crumpled newspaper between items. |
| 2. Properly identify and price your work. | 5. Insure and ship to Senti-Metal Silver Restoration Co. (We are not responsible for any loss or damage in transit.) |
| 3. Fill out the order form completely and enclose with items to be replated or repaired. | 6. Please allow 8 to 10 weeks for completion of your order. |
| Number of Items | Description | Work to be Done | Price |
|---|---|---|---|
| 1 | SAMPLE: Sugar Bowl | Replate silver, remove dents | $58.77 |
Subtotal: |
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Add State Sales Tax (see tax table): |
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Add 6% of Subtotal for Postage: |
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Total: |
| Address Information: | |
| Name: | City: State: Zip: |
| Address: | Daytime Phone Number: |
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For questions about placing your order, call Toll-Free 1-800-323-9718. |
| Payment Options: | |
 Check: (My check/money
order for $__________ (paid in full, including tax and postage) is enclosed. |
Card Number: |
| Credit Card: |
Expiration Date: Today's Date: |
| American Express
VISA
Discover
MasterCard |
Signature: |
| Mailing Label : (Cut out the mailing label and attach it to your package.) | ||||||||||||||||||||||||||||||||||||||||||||||
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| Tax Table: | |||||
| Alaska (AK) | No tax due | Kentucky (KY) | 6% | New York (NY) | 7 1/4% |
| Alabama (AL) | No tax due | Louisiana (LA) | 4% | Ohio (OH) | 5 3/4% |
| Arkansas (AR) | 6% | Massachusetts (MA) | 5% | Oklahoma (OK) | No tax due |
| Arizona (AZ) | 5 1/2% | Maryland (MD) | 5% | Oregon (OR) | No tax due |
| California (CA) | 7 3/4% | Maine (ME) | 6% | Pennsylvania (PA) | 6% |
| Colorado (CO) | No tax due | Michigan (MI) | 6% | Rhode Island (RI) | No tax due |
| Connecticut (CT) | 6% | Minnesota (MN) | 6 3/4% | South Carolina (SC) | 5% |
| District of Columbia (DC) | 5 3/4% | Missouri (MO) | No tax due | South Dakota (SD) | 4% |
| Delaware (DE) | No tax due | Mississippi (MS) | 7% | Tennessee (TN) | 8 1/4% |
| Florida (FL) | 6% | Montana (MT) | No tax due | Texas (TX) | 7% |
| Georgia (GA) | No tax due | North Carolina (NC) | 6% | Utah (UT) | 6% |
| Hawaii (HI) | 4% | North Dakota (ND) | 5% | Virginia (VA) | 4 1/2% |
| Iowa (IA) | 5% | Nebraska (NE) | 5 3/4% | Vermont (VT) | 5% |
| Idaho (ID) | 5% | New Hampshire (NH) | No tax due | Washington (WA) | 8% |
| Illinois (IL) | 6 1/4% | New Jersey (NJ) | 6% | Wisconsin (WI) | 5% |
| Indiana (IN) | No tax due | New Mexico (NM) | 5% | West Virginia (WV) | 6% |
| Kansas (KS) | 5% | Nevada (NV) | 6 3/4% | Wyoming (WY) | 5% |