Earthwing Order Form
Date____________
     
UPS Shipping Address
Mailing Address (if different)
     
Business Name _____________________   ____________________________
Address___________________________   ____________________________
__________________________________  

____________________________
City/State/Zip_______________________    
__________________________________   Purchase Order # ______________
Phone_____________________________    
Fax_______________________________   Email ______________________
   
(to receive product updates)
Ordered by_________________________    
     
Item #
Qty
Description
Price each unit
Total
         
         
         
         
       
         
         
 
Method of Payment: Shipping Charges:
_____Check or Money order enclosed
For continental US only
_____VISA.____Mastercard
 Orders under $100.........$9.95
Card Number_____________________________
 $101-$500...................$19.95
Exp. Date________________________________
 $501-$1000.................$29.95
$1001-$2000...............$39.95
Signature________________________________
 $2001-$5000...............$49.95
We accept Visa, Mastercard, Check or Money order. MA residents add 5% sales tax.
On order please include your UPS shipping address.

 
Add Appropriate UPS Shipping & Handling Charges to Order:
Shipping charges are for lower 48 states only.
Hawaii, Alaska and International customers contact us for shipping charges
Next day air is available for an additional charge.
 
Refund policy: If for any reason you are not happy with your purchase, return the items within 30 days for a refund. Please include a copy of the invoice along with reason for return. Returns cannot be shipped C.O.D. Our return address is:
Berkshire Products Inc.
Rte 7A
Sheffield, MA 01257