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Order form

For the fastest service, please fill in this order form completely.

Be sure to give us color codes, size codes, and item codes if

needed.

If

you pay by credit card, we will figure taxes and

delivery charges for you and add the amount to your monthly

statement.

If

you are sending payment with your order, include

enough to cover taxes and delivery charges ... we will promptly

refund any excess. Mail this form in the attached postage-paid

envelope or in an envelope addressed to the Montgomery Ward

Distribution Center closest to you (see addresses on page 498).

Previous address:

Fill in this section only if you have moved since you last placed a

Montgomery Ward catalog order.

Name____________________

Street

&

No._________________

City/State/Zip._______________

Method of payment (no C.O.D.s):

MontgomeryWard

Ordered by:

Date___

Name_________________

Street

&

No .______________

City/State/Zip____________

Horne phone (area code)_________

Ship to another address:

Fill in this section only if delivery location is

different than above.

Name_________________

Street

&

No._____________

City/State/Zip____________

Check or money order enclosed (payable to

D

Montgomery Ward). Do not send currency.

D

New account (completed Montgomery Ward

application on reverse side) .

D

Add to my Montgomery Ward {

MonlgcmooyWmd)

Credit Card account

0

Add to my (circle one)

Visa

My account number is:

~~1-1

-

~-'-_I~-

MasterCard

[jjj

Myaccountnurnberis : .___.__....____._

_.__..___.__....____.~~-..__~--'---~~-..__~_~-'--~

Expiration date is :

Signature (sign

full

name as shown on account),_______________________

Size

Price

Est. ship.

wt.

Name of item

Complete

Page

How

Color

or other

for one

Total

(non-mailable

(1 or 2words)

catalog number

number many? number

code

(ea.

price

items only)

number yd., etc.)

lbs.

oz.

On credit orders, we'll

• Total for

goods

$

Total Total

• Home delivery and handling charge

lbs.

I

oz.

figure taxes and delivery

for mailable items (see chart, pg. 498)

$

charges for you.

• Home delivery and handling charge

$

Total

wt.

In most cases, we'll

for non-mailable items (see chart, pg. 498)

in

lbs.

process and ship your

• Tax (add state and local taxes as

$

(count extra

required by law; see table on pg. 498)

ounces as a

order within 24 hours

• Grand Total

$

full

lb.)

after we receive it!

Thank you for your order!

• AMOUNT ENCLOSED

$

ALL •

499

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