Franciscan Centre Gift Shop Order Form

The National Shrine of Saint Francis of Assisi 610 Vallejo Street San Francisco, CA 94133
Fax: 415-983-0407	GIFT SHOP ORDER FORM


1.	Using your browser’s Print feature, print this form on your printer and then fill it out. (If the form does not print on one page, set your browser’s Text Size to Medium (IE) or Original Size (NS).
2.	Mail the completed form (with your check or credit card payment) to the address above or fax the completed form to the fax number above (credit card payments only).

	_________________________________________ NAME (please print)				_________________________________________ NAME (please print)
	_________________________________________ ADDRESS				_________________________________________ ADDRESS
	_________________________________________ CITY, STATE, ZIP				_________________________________________ CITY, STATE, ZIP
	_________________________________________ PHONE, E-MAIL				_________________________________________ PHONE

Item Number
Qty.
Description

Price per Item

Total Price

FOR ADDITIONAL ITEMS PLEASE USE A SEPARATE SHEET

Shipping and Handling Charges

Total Price of Items   S&H Charge

$0-75.00 $6.50

$75.01+ 8.5% of Subtotal

Rush Shipping
(UPS Blue Label) Double Normal Rate

Next Day Shipping
(UPS Red Label) Four Times Normal Rate

Subtotal:
  ___________

Ship to SF address, add 8.5% Sales Tax
CA outside SF, add 7.25% Sales Tax
Outside CA, no Sales Tax
  ___________

Shipping and Handling:
  ___________

$2.00 Gift Wrapping per box:
  ___________

TOTAL
  ___________

[ ] To pay by check, make payable to The National Shrine of Saint Francis of Assisi

To use [ ] Mastercard or [ ] Visa, check the appropriate box and give:

Account number: ______ - ______ - ______ - ______ Expiration Date: ____ - ____

Authorizing signature: _________________________________

[ ] To pay by check, make payable to The National Shrine of Saint Francis of Assisi
To use [ ] Mastercard or [ ] Visa, check the appropriate box and give:
Account number: ______ - ______ - ______ - ______ Expiration Date: ____ - ____
Authorizing signature: _________________________________