The Maryland Store Order Form

Complete this form and mail to:
The Maryland Store
P.O. Box 1925
Westminster, MD 21158

 

If paying by check or money order,
make payable to:  The Maryland Store

Or Fax This Form To:  410-840-8852

 

Bill To: (Please Print Clearly) Ship To: (if different than Bill To)
Name: Name:
Address:

 

Address:

 

City,State,Zip: City,State,Zip:
Phone: Phone:
E-Mail Address: E-Mail Address:

Order Date

Credit Card Number: Visa, MasterCard, American Express

Expiration Date (M/Y)

     
PLEASE SIGN HERE:

                                             

Quantity Item # Description Unit Price Total
         
         
         
         
         
         
         
Gift card sentiment or other instructions: Subtotal  
Tax (6% MD)**  
Shipping  
  Total Due  
Regular shipping charges: ** Maryland Tax is charged on all items SHIPPED to a Maryland address
Total Cost of Items
$0.00 - $15.00
$15.01 - $30.00
$30.01 - $45.00
$45.01 - $60.00
$60.01 - $75.00
$75.01 - $100.00
$100.01 - $150.00
$150.01 - $200.00
$200.01 - $300.00
$300.01 - $400.00
$400.01 and up
Shipping Rate
$5.95
$7.95
$8.95
$9.95
$10.95
$12.95
$14.95
$16.95
$19.95
$22.95
$24.95

Heavyweight items may incur an additional charge.  All items are sent USPS Priority Mail or UPS Ground (2nd Day Air and Next Day Air available, call for rates)

Returns are accepted but shipping charges are not refundable.  For complete policies visit our website.