Time After Time Clocks - Mailorder Form
232 Parish Road, Worthington, MA 01098
(413) 238-4228    email: amy@tinclocks.com 

Because we do not currently accept credit cards, we do not ON-LINE or PHONE orders.

Please print out this order form and mail it with your check or moneyorder.

Ordered by:	Send to:
Name _______________________________	Name ________________________________
Address _____________________________	Address ______________________________
City ________________________________	City _________________________________
Phone ______________________________	Phone _______________________________
Email ______________________________	Email ________________________________

How many?	Name of design	Stock number	Price each	Total
Total for merchandise
MA residents add sales tax
Shipping: first clock, $4.50.  Additional clocks add $2.00 each.
Total enclosed

Checks and Postal Money Orders are welcome.