CONFEDERATE MERCANTILE
Serving the needs of Confederate patriots


ORDER FORM

QTY.___ITEM DESCRIPTION___________________________PRICE EA._TOTAL___
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
________ _____________________________________________ __________ _________
                                                                          SHIPPING & HANDLING: _________
                                                                                                      TOTAL: _________

SHIPPING CHARGES SCHEDULE

If order total is...
From $0.00 to $9.99 - S&H = $4.50
From $10.00 to $49.99 - S&H = $5.50
From $50.00 to $99.99 - S&H = $6.50
From $100.00 to $199.99 - S&H = $7.50
From $200.00 and up - S&H = $8.50

Please make your check or money order payable to and mail to:

K. Steven Monk
P.O. Box 53
Tate, GA 30177