| Quantity | Total Price | ||
| NHRHTA 2010 Calendar @ $9.95 | |||
| 6% Connecticut Sales Tax ($0.60 per Calendar): | |||
| 6.25% Massachusetts Sales Tax ($0.62 per Calendar): | |||
| Shipping (per calendar -- contact Bill Nickerson if ordering more than 3): | ______ calendars X $2.25 each | ||
| Amount Enclosed: | |||
Note: We will not be shipping the calendars via bulk mail in order to ensure timely delivery. If you are ordering more than 3 calendars, please contact Bill Nickerson.
Please make your check payable to "Treasurer, NHRHTA, Inc." Connecticut and Massachusetts residents must include sales tax. Mail your check and this completed order form to:
Bill Nickerson
9 South George Washington Road
Enfield, CT 06082
Please print the following information:
Name (Last, First):_____________________________________________________
Address:________________________________________________________________
City:____________________________ State:__________ Zip:_________________
Telephone:_____________________ Membership #:__________
_____ Please check if this is a new address.
