Order Form
Page# Item # Description Qty Price Each Total
                       |                  |  
                       |                  |  
                       |                  |  
                       |                  |  
                       |                  |  
                       |                  |  
SALES TAX
Because of our store locations, we are required by law to collect sales tax on merchandise total for shipments to MA.

* Includes picking, special packaging such as foam and inserts, approved boxing, special handling, insurance and shipping.
ADD FOR SHIPPING & PROCESSING *
Order Value From Shipping Charge
$0.00 to $15.00 $4.95
to $30.00 $6.95
to $50.00 $9.95
to $75.00 $12.95
to $100.00 $14.95
to $150.00 $17.95
to $200.00 $19.95
$200.01 + 12.5%
CANADIAN CUSTOMERS
Order Value Shipping Charge
From $0.00 to $30.00 $10.45
to $50.00 $17.00
to $75.00 $24.45
to $100.00 $32.45
to $150.00 $46.45
Over $150.00, 31% for Shipping and Processing.
Total Merchandise               |  
Shipping & Processing(except freight)               |       
Handling Charge 1 | 50
Add Sales Tax
(MA residents add 5%)		               |      
Total Payment
(US funds only)		               |      
Outside the Continental U.S.
Please call or write for shipping details. (U.S. Funds) PLEASE INCLUDE COPY OF CERTIFICATE WITH TAX EXEMPT PURCHASES
Mail Your Order to :
The Renovator's Supply, Inc
Renovator's Old Mill
Millers Falls, MA 01349-1014 		    Fax your Order to (413) 423-3800
Have you ordered from us before ?
Yes   No
Billing Address     Shipping Address
(If different from Billing Address)
Name _________________________________     Name _________________________________
Address ________________________________     Address _________________________________
City ________________State_____Zip_______     City ________________State_____Zip_______
Email ________________________________     Email _________________________________
Phone# (_____)________________     Phone# (_____)_________________
Payment Information
Check/MO
Personal check orders will
be held for 21 days
Account Number (Please print clearly)
|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Expiration Date _________________________________
|__|__|/|__|__|__|__| (MM/YYYY) Cardholder Signature