New Hampshire Wear Order Form
Use this form to order New Hampshire Wear apparel.
Just print this page, fill it out and send it to us. If you pay with a credit card, then you can fax it to us. If paying with a check, mail the form and check for the full amount to:

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Red Brick Clothing Company
17 Dracut Road
Hudson, NH 03051

 FAX: 603-822-7474
Phone: 1-866-718-4100
E-mail: Marie@RedBrickClothingCo.com

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Name________________________________________

Address_____________________________________________

City________________________ State_____ Zip____________

Day Phone____________________   Night Phone___________________
Style
PRICE
QTY
 SIZE TOTAL
NH Lincoln Sweat
$23.00
 ___ _____ _____
Additional Sweat:   ___ _____ _____
NH White Mountains Turtle
$23.00
 ___ _____ _____
Additional Turtle:   ___ _____ _____
NH White Mountains Skier
$23.00
 ___ _____ _____
Additional Skier:   ___ _____ _____
         
  Sub Total: _____
DELIVERY or PICK-UP (circle one)
(Allow 3 weeks for delivery)
Store Pick-Up: 17 Dracut Road, Hudson, NH 03051		    
   
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Please include payment with order if paying by check.
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Shipping & handling:  
Up to $26.00 $5.00
$26.01 to $75.00 $7.00
$75.01 to $125.00 $9.00
$125.01 to $150.00 $11.00
$150.01 to $200.00 $13.00
Over $200.00 CALL!  

Shipping:

END Total:

_____

_____

Method of Payment:
VISA ___    Mastercard ___            **CHECK  ____


Credit Card#: ___________________________________
Expiration Date: ___ /___
Signature:_______________________________________

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