Ordering Form
Print Out and Fax, Mail or Email to:

The Collings Foundation
P.O. Box 248
Stow, MA 01775
Fax: 978-568-8231
px@collingsfoundation.org

Name:__________________________________________________
Address:________________________________________________
_______________________________________________________
City:_____________________ State:_____ Zip:________________
Phone Number:__________________________________________
Email:__________________________________________________

Order:

Payment Method, Please Circle One:
[Check] [Money Order] [Visa] [Mastercard] (Amex)(Discover)

Name on Credit Card:_______________________________________

Credit Card Number:________________________________________

Exp. Date:___________

Signature:_________________________________________________

Shipping & Handling:
Please allow up to two weeks for delivery. Please add shipping charges based on the following scale:

$0 - $10........................ $5.00 S&H
$10 - $50...................... $7.00 S&H
$50 - $100.....................$10.00 S&H
$100 - $200...................$14.00

Flight Certificate (only)... $5.00 S&H

Please make all checks out to: The Collings Foundation