HOPS SCRIMSHAW ORDER FORM

Our PayPal shopping cart now offers secure on-line ordering. Check out is through PayPal and it is now optional to have a PayPal account to check out and sign-up is no longer required. If you prefer not to use our secure cart method please print out the form below and mail your order to us.

Please be sure to complete all shipping information. If paying by credit card, be sure to fill in all credit card information, and remember to sign and date the Order Form for quick processing. PO Boxes are OK - We ship all orders via US Postal Service. HOPS' SCRIMSHAW PO Box 365 • Mitchellville, Iowa 50169 Email: GoToHops@msn.com 515-967-7966 (E-mail is the preferred method of contacting us)

NOTE: Depending on your browser and system settings This Order Form may open in a separate browser window, if you want to return to the web site you must close this window.

NAME	DAY PHONE
ADDRESS	APT. NO.
CITY	EVE. PHONE
STATE ZIP	COUNTRY
E-MAIL

I authorize HOPS' SCRIMSHAW to charge my total order to my (please check one): VISA MasterCard

CARD NUMBER

NAME ON CARD EXP. DATE

AUTHORIZED SIGNATURE DATE

QUANTITY	ORDER NO.	DESCRIPTION	PRICE EA.	TOTAL

SHIPPING CHARGES	Merchandise Total
USPS First Class shipping is FREE Priority Shipping, please add $5.50	IA Residents Add 6% Sales Tax
OPTIONAL INSURANCE CHARGES	Shipping
Up to $50 add $1.50 From $50.01 to $100 add $2.50	Insurance
For each additional $100 add $1	Total Amount of Your Order

Thank you for your order & God Bless, HOP