Specifications
97
1-800-543-7586
Sold To:
Name:
______________________________________________________________________________
Address:
____________________________________________________________________________
City:
________________________________________
State:
_______
Zip:
___________________
Phone: (
_______________
)
__________________________________________________________
We need your phone number to ensure prompt delivery, and in case a question arises about your order.
Email
______________________________________________________________________________
Ship To: (If different than above)
Name:
______________________________________________________________________________
Address: ____________________________________________________________________________
City:
________________________________________
State:
_______
Zip:
___________________
Phone: (
_______________
)
__________________________________________________________
We need your phone number to ensure prompt delivery, and in case a question arises about your order.
Method of Payment
❏
FULL PAYMENT
(Check or money order enclosed)
Personal check, money order or bank draft made payable
to Shopsmith, Inc.
❏
BANK CREDIT CARD
You can use any card listed below (please indicate):
❏
VISA
❏
MasterCard
❏
Discover
❏
American Express
Account/Card Number Exp. Date (MM/YY)
Authorized Signature:
_________________________________________________________________
Item No. Qty Description Price Each TOTAL
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =
$
Add Shipping Rate from table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
Add Appropriate Amount per Truck Ship Item(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
Add Local Sales Tax @
__________
% . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +
GRAND TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =
$
Important Sales Tax Information:
We are required to collect sales tax in Ohio
Shipping & Handling Rates
Within the Continental United States, please add correct amount from the rate chart
shown. Be sure to include additional charges for Truck Ship items as specified. For
other shipping areas, we’ll notify you of estimate cost prior to shipment.
Shipping Information
In stock items will be shipped within 24 business
hours (except weekends). Express shipping
charges are in addition to regular handling
charges. Call before 1PM for Express Service.
If your order includes any item with
the copy below, you need to add the
appropriate amount on the order form.
The Shopsmith “Product Name” is a
Special Truck Shipment item and requires
an additional $_____ shipping fee.
This copy indicates a heavier-than-normal
Shopsmith Special Purpose Tool or other heavy
product that will ship Common Carrier Delivery,
and therefore requires a shipping surcharge.
Orders including an item with this wording will
require the additional per item shipping and
handling charge.
FEDERAL EXPRESS NEXT DAY
Minimum charge $25 up to 5 pounds
Approx. $1.50 for each additional pound
FEDERAL EXPRESS SECOND DAY
Minimum charge $12.50 up to 5 pounds
Approx. $1.25 for each additional pound
Shipping and Handling Rates
$ 0.00 – $ 20.00 ......................$ 6.99
$ 20.01 – $ 40.00 ......................$ 8.49
$ 40.01 – $ 60.00 ......................$10.99
$ 60.01 – $ 80.00 ......................$12.49
$ 80.01 – $ 100.00 ....................$14.49
$ 100.01 – $ 200.00 .................... $16.49
$ 200.01 – $ 350.00 .................... $20.49
$ 350.01 – $ 500.00 .................... $23.49
$500.01 and more ..............7% of Total
✁
✁
✁
Shopsmith’s Factory-Direct Order Form
Fill Out and Fax or Mail with Payment
Order Form
To confirm your shipment. (P.O. Box addresses will ship priority.)










