Print this form to place an order by mail.
You may also place order by phone,
toll free: 1-866-WEST123

Mail-Order form
Website: AllTheWest.com
DATE OF ORDER:  

YOUR NAME:

ADDRESS:  
CITY:   
STATE:    ZIP: 

Payment Method:   
Personal Check Money order
MasterCard   Visa   Discover   American Express
Credit Card #:
Expiration Date (mm/yy):
Security code (what is this?)


The online source for Western!
Please mail order form and remit payment to:
ALL THE WEST GIFTS & GOURMET
# 202
2519 S Shields, Suite 1K
Fort Collins, COLORADO 80526
Your email address:
 
Your home phone:
  

Quantity

ITEM DESCRIPTION

  

PRICE
EACH

TOTAL
PRICE
   

   
   
   

Shipping & Handling Charges
For delivery within the Continental United States only.

Merchandise Total

Shipping & Handling amount
Up to $19.99 $6.95
$20.00 - $33.99 $10.95
$34.00 - $53.99 $14.95
$54.00 - $73.99 $16.95
$74.00 - $83.99 $18.95
$84.00 - $93.99 $21.95
$94.00 - $103.99 $22.95
$104.00 & up $28.95

For all deliveries outside the Continental United States, please email customer service for shipping amount.

Merchandise Total

$

Shipping & Handling Charge
(see chart at left)

 $

For orders shipped to Colorado, add 6.9% sales tax on Merchandise Total

$
   

TOTAL

$

Special Instructions from customer:
This space for office use only