MERCYGROUND MAIL ORDER FORM:

Please type in the items you'd like to order and their prices. Please add up the prices and type in your total in the "SubTotal" box. Shipping is a straight 15% of your Subtotal Amount. (IE: $40 means $6 shipping, $18 means $2.70 shipping). CA Residents must add 8.25% Sales Tax (from the Subtotal Amount) as well.
Please add everything together, this is your TOTAL to send to us.

MERCHANDISE ORDER:
ITEM # ITEM NAME PRICE QTY
SUBTOTAL:
CA 8.25% Sales Tax:
SHIPPING:
TOTAL:
You may include any special instructions, jewelry, accessory, card or print design specifications in the box below. Hit "Return" before you reach the end of the window to ensure that all text is printed:
Ordering Information
Please be sure to include your full address and contact information,
in case we need to contact you about your order:

First Name: Last Name:
Address:
Additional Address:
City: State/Province:
Postal Code: Country:
Contact Phone #:
Contact E-mail:

Payment Information
Please select what type of payment you are using: Check, Money Order, or Credit Card.
Make Checks and Money Orders out in U.S. Funds payable to The Mercyground.
(We have include space for Credit Card Information in case you'd prefer not to order online.)

Credit Card #
Name as it appears on Credit Card:
Expiration Date (mm/yy):

Once you have typed in your order and printed this page, please hit the "Reset" button to clear your personal information. We thank you for your order!

Mail this form and payment to:
The Mercyground
PO Box 2286 Hollywood, CA 90078 USA

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