Authentically Handcrafted Buckskin Clothing & Wampum Weaving Since 1979

Printable Order Form

G.A. Reneker
P.O. Box 473
Dillsburg, PA 17019

Contacting Us

To print this form:  Use your browser's  [Printer]  Icon
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When finished simply close this browser window to return to the previous page.

Don't forget -->

The Measurements form if ordering buckskin clothing or rifle cases.

U.S. Addressees:

Use complete street address, as some carriers will not ship to a P.O. box.

Non-U.S. Addressees:

Include phone number for possible Postal Service use.


------------------    Please TYPE or PRINT all information    ------------------

Name: ____________________________________________________________
Address: ____________________________________________________________
City: ____________________________________    State/Province: __________________
Country: ____________________________________    Zip/Postal Code: _________________
Email: ____________________________________    Phone: __________________________
Product # Product Qty Weight/ Item Total Item Weight Price/ Item Item
Total $$
             
             
             
             
             
             
             
             

Total Weight:

__________ Lbs.

Product Total: $ __________
Non-U.S. clients are responsible for
all import fees and taxes.
Less Discounts: __________
Order Sub-Total __________
Use charts on the next Page Down to determine correct Shipping and Handling charges. 6% Sales Tax  (PA Only):    __________
Shipping/Handling/Insurance:    __________

Payment must be made in U.S. currency.

ORDER TOTAL: $ __________

Payment Method:  Master Card      Visa      Money Order      Check
Credit Card #:

  _______     _______      _______     _______

Card Expiration Date:   ____/____      CVV #: ________  --> 3 digit # on back of MC or Visa                                                   OR 4 digit # on front of American Express.
Signature:   __________________________________________________
Thank You For Your Order

Shipping and Handling

Find your country's Rate Group in the "Country Listing" table.  Then use that Rate Group's column in the "Shipping Rates Table" to determine the correct Shipping and Handling costs to enter on the Order Form above.

Country Listing

Country

Rate Group
Australia 3
Austria 5
Belgium 5
Canada 1
Germany 5
Gr. Britain &
  N. Ireland
5
Ireland (Eire) 5
Japan 3
Mexico 2
Netherlands 5
Sweden 5
Switzerland 5
U.S. US
 

Weight Not Over (Lbs.)

Shipping Rates  (Including Full Insurance)
UPS USPS Priority International Rate Groups
US (48) Alaska or Hawaii 1 2 3 5
1 $  8.55 $  10.46 $  16.00 $  16.50 $  21.00 $  20.00
2 9.65 12.44 17.30 19.75 25.25 24.00
3 10.50 14.31 18.60 23.00 29.50 28.00
4 11.05 15.70 19.90 26.25 33.75 32.00
5 11.60 17.00 21.20 29.50 38.00 36.00
6 11.95 18.35 22.50 31.80 41.60 39.30
7 12.40 19.51 23.80 34.10 45.20 42.60
8 13.15 20.77 25.10 36.40 48.80 45.90
9 13.85 21.96 26.40 38.70 52.40 49.20
10 14.70 22.97 27.70 41.00 56.00 52.50
11 15.60 23.92 29.10 43.30 59.60 55.80
12 16.60 24.85 30.50 45.60 63.20 59.10
13 17.60 25.73 31.90 47.90 66.80 62.40
14 18.60 26.81 33.30 50.20 70.40 65.70
15 19.60 27.41 34.70 52.50 74.00 69.00
16 20.40 28.20 36.10 54.80 77.60 72.30
17 21.35 28.97 37.50 57.10 81.20 75.60
18 22.30 29.73 38.90 59.40 84.80 78.90
19 23.35 30.45 40.30 61.70 88.40 82.20
20 24.35 31.17 41.70 64.00 92.00 85.50

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Copyright Jan 1999, 2015, Gary A. Reneker. All rights reserved. All text, graphics, programming, and coding are protected by U.S. and International Copyright Laws, and may not be copied, reprinted, published, translated, hosted, or otherwise distributed by any means without explicit permission from Gary A. Reneker.