MAIL ORDER FORM
Capitol Stamp Gallery

Please print out this page, and fill in the requested information. Upon receiving your order, we will verify it by contacting you. All information will remain strictly confidential.

Name____________________________________________________________

Address__________________________________________________________

City, State, Zip Code______________________________________________

Phone__________________________ E-mail____________________________

 Item #

Description

Price ($)

     
     
     
     
     
     
     
     
     
     
     
     

Subtotal     _____________

 Shipping: $1.00 worldwide    _______ 1.00_

Insurance (optional): add $3.00    _____________

MN residents add 6.5 % sales tax    _____________

TOTAL   $_____________

Mail to: Capitol Stamp Gallery, PO Box 211252, Eagan, MN, 55121-2652. Please enclose payment with your order. We accept PayPal, money orders, cash, cashier's checks, and personal checks for payment. Please make payments in US funds only.

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