West Shore Games Order Form

WEST SHORE GAMES ORDER FORM
Please print out this form

Fax to:
609-730-8437 Mail to:
P.O. Box 484
Pennington, NJ
08534-0484

Personal Information:
Name(First & Last)
Billing Address:
Street:
City:
State:
Zip:
Mailing Address (If Different):
Street:
City:
State:
Zip:
Phone:
E-Mail:
Credit Card Information: (Circle choice)
Visa or Mastercard -- OR Check
Name on Card:
Number:
Exp. Date: (00/99)
Item Information (please total)
Nubmer of games ____ * $29.95 = $__________
Shipping cost (see table) $__________
Sales tax (6% NJ only) $__________
Total monies sent $_____________

All orders will be shipped USPS
All orders from New Jersey will have 6% sales tax added