Mail Your Order to:
Blue Heron Mercantile
Jim Jacobs - Proprietor
4202 Hillside Drive
Lafayette, IN 47095

Phone & Fax:
1-765-474-8426
Shipping Address:

Name        _________________________________

Street        _________________________________

City           _________________________________

State          ___________  Zip __________________

Telephone  _________________________________

Qty. Item Number Item Name, Size, Color, etc. Unit Price Total
         
         
         
         
         
         
         
         
         
         
Packing, Delivery, and Insurance
(Continental U.S. Only)
Please add to your order accordingly.
Up to $30.00....................$7.00
$30.01 to $60...................$8.00
$60.01 to $80...................$9.00
$80.01 to $100.................$10.00
$100.01 and up, add $2.00 for every $50.00 purchase
Subtotal  
 
Shipping & Handling (see chart)  
UPS 2nd Day/Next Day Delivery $30.00  
IN residents, add 6% sales tax  
C.O.D. $7.00  
TOTAL  

     
C.O.D.
     
Visa
     
Mastercard
     
Check
     
Money Order
Credit Card Number
                                                                                               

Cardholder Signature ___________________________________________________ Expires ______/______

Terms: Orders may be shipped prepaid by Visa or Mastercard, personal cheque, certified cheque or money order, or C.O.D. for an additional $ 9.00 fee. Indiana Residents please add 6% to cover State SalesTax. For Speedier service send us your order by Fax, E-mail or through our Website: blueheronmercantile.com

Discounts: Wholesale and Brigade prices for several items on this list are available upon request. Merchants wishing to receive a wholesale list must send a copy of their State Retail Merchant's Certificate. Brigades and organizations wishing to receive discounts must send their request on Group Letterhead or with some other tangible proof of group status. Organizations requesting Brigade Discounts should have no fewer than 3 members. Member names and signatures are required with proof of group status, and members should note their group affiliation when placing an order in order to receive a discount.

Gift Certificates:

Gift Certificates in the form of an early trade company note, together with our latest catalog, are available by providing us with the recipient's name and address along with prepayment in the amount of the gift.


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