Merchandise Order Form

Date: ______________________________________________________________

Name: _____________________________________________________________

Address: ___________________________________________________________

City/State/Zip: _______________________________________________________

Home Phone: _______________________________________________________

Work Phone: ________________________________________________________

Email: _____________________________________________________________

Items (include quantities and sizes where applicable):

ITEM PRICE SIZE(S) QTY TOTAL
         
Marin Farm Families,
Stories & Recipes		 $12   ______ __________
Ranches & Rolling Hills
10th Anniversay Greeting
Card Collection 		$15   ______ __________

MALT T-Shirt -- Adult
$18
 ______ ______ __________

MALT T-Shirt -- Youth
$16
 ______ ______ __________
MALT Tote Bag $20 ______ ______ __________
MALT Baseball Cap
$20
   ______ __________
 
Shipping/Handling*
 __________
    Subtotal __________

*Please use this table to compute the shipping costs for the items ordered above:

Value of Order Shipping & Handling
$0.00–$25.00 $8.00
$25.01–$49.99 $10.00
$50.00–$100.00 $15.00
$100.01–150.00 $18.00
$150.01–200.00 $20.00
$200.01+ $45.00

 
Ranches & Rolling Hills,
Art of West Marin—A Land in Trust		 $50 Shipping/Handling $15/book __________
         
R. Chatham Lithographs:        
"...Marshall Ridge" $450   ______ __________
"...Mount Tampalpais" $450   ______ __________
"...Tomales Bay" $750   ______ __________

Shipping/Handling $45/print		 __________
 
 
      TOTAL __________

Please accept my [ ] check [ ] VISA [ ] Mastercard [ ] American Express

Credit Card Number / Expiration: _________________________________________

Name on Card (please print): ___________________________________________

Signature: __________________________________________________________


Please fax or mail form to:
Marin Agricultural Land Trust
Post Office Box 809
Point Reyes Station, CA 94956
fax: 415.663.1099

 Thank you!