online order form
SHALLYN Online Order Form
SHALLYN sand scarf
# Fields must be filled up for submission  / Terms and Policy

Please send your check or money order for the below price. Your order will be sent once the monies have been received. Thank you for your order!  Print order form and send a copy to SHALLYN, 114 DeKalb Street, Bridgeport, PA 19405, Operations Department and keep a copy for your records.

Please provide the following ordering information: Checks payable to: SHALLYN

Shipping / See Shipping and Handling  Note: Monthly specials are automatically given with order form purchases, if applicable.

First Name #                                       Date: mm/dd/yy
Last Name #                                       Is this scarf(s) a donation to Keystone Soldiers Organization YNo
Email Address (Necessary for confirmation)             
Address Line 1 #
Address Line 2
City #
State # Zip #

Daytime Phone # (Necessary for confirmation)

For shipping information, if different than above

 Address Line1 #
 Address Line2
City #
State # Zip #                                                                                                                    

 Check Money Order       (Monthly specials will be deducted in-office)

 Order Form Via Mail Submission
Item Name Qty @Price SubTotal
@
@
Color/Distribution @
       
Sales Tax: Orders exceeding quantity 60 please contact SHALLYN sales office Non-applicable
Shipping&Handling: If quantity is $1-$29=$2.85, $30-$60=$7.75, $61-$150=$10, >150=$12 $
TOTAL: