Cubberley & Shaw Order Form

To place your order just your print out a copy of our Order Form and mail the completed form along with your remittance to:

Cubberley & Shaw
PO Box 607BN
Groton  MA   01450-0607

Name:  __________________________________________
Address:  __________________________________________
City:  _____________________  State:  _____   ZIP:_____________

Item Number....Quantity.....Item Description......................................................... Unit Price........Total Price
___________  ________  ________________________________________   $_________  $_________  

___________  ________  ________________________________________   $_________  $_________  

___________  ________  ________________________________________   $_________  $_________  

___________  ________  ________________________________________   $_________  $_________  

___________  ________  ________________________________________   $_________  $_________  


Subtotal:  $_____________________
Shipping:  $_____________________
(MA residents add 5%):  $_____________________
Order Total:  $_____________________

Guarantee: If for any reason you are not completely satisfied, simply return your purchase for an immediate refund or replacement as you request.

Shipping Charges: Up to $19.99 add $1.50, $20.00 to $39.99 add $2.50, $40.00 to $59.99 add $3.50, $60.00 to $79.99 add $4.50, $80.00 to $99.99 add $5.50, $100.00 or more add $6.50

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