

SEA/RlScATALOG ORDER FORM
Use this form
to order
by
mail ...
Sears shipping and
handling charges for
mailable orders are
below; for rates on non–
moiloble merchandise
coll
1-800-366-3000.
On Credit orders Sears will
figure shipping and handling
charges and taxes for you.
Sorry, no C.O.D.'s on
home delivery orders. Use
SeorsChorge,SM Discover®
Cord, enclose a check or
money order for total
cash price. Or coll
1-800-366-3000,
place
your order, then moil in the
total price. Ask for details.
Moil this order to the Sears
center below.
To
return merchandise, take to
your local Sears store or send
to address on sales check.
Catalog
Color
number
Size
no.
SEARS SHIPPING AND HANDLING
CHARGES FOR MAILABLE ORDERS
TOTAL ORDER
TOTAL ORDER
SHIPPING WEIGHT RATE SHIPPING WEIGHT
NAME AND PRESENT ADDRESS
Name--~---------------~-----~-----~
(first, middle initial, last) Use same name far ALL orders from your household. Please print in ink.
Mailing address _____________________ Apt.-----
City _________________ State ______ Zip Code ____
Areo Code ___ Phone Number
Today's Dote------
If
your name, address or phone number has changed since your last order, please give the
old information here:
Former address _____________________ Apt. _____
City _________________ State ______ Zip Code ____
Former Phone Number: Areo Code----- Phone Number------------
SHIP TO ANOTHER ADDRESS/SHIP-A-GIFT. If you want this order shipped to another person or to
o different address, freight or express station, give address here:
Name _______________________________
Moiling address _____________________ Apt. _____
City _________________ State ______ Zip Code----
Ship-A-Gift recipients phone number _______
~~~--~~-------
(include area code)
METHOD OF PAYMENT
D
Add to my Discover® Card or SearsChargeSM account (Subject to credit approval)
I
My Discover®Card or
SearsChargeSM signature:----------------------
Expiration date of your Discover®Card------------------
0
CASH or DEPOSIT for order: (check or money order payable to Sears, Roebuck and Co.)
Mono- How
Price
Total price
Weight
gram
each
dollars
Lbs.
Initials many
cents
Fill in spaces below on CASH ORDERS only.
TOTAL FOR MERCHANDISE
RATE
Name of item
Page
Total Weight· Lbs.
(Add like
no.
FOR ORDERS ONLY
If
you live
East
of the
Mississippi River moil to:
0 to .5 lb....
.... .
$2.58 10.1to15 lbs.
$ 8.62
ADD SHIPPING, HANDLING
See Chart at left
dollars and cents)
Sears, Roebuck and Co.
P.O. Box 780593
Wichita, KS 67278·0593
.6 to 9 lb.
.......
3.14 15.1ta25 lbs....
10.20
1to2 lbs...
3.87 25.1 to 45 lbs....
13.59
2.1 to 3 lbs..
...
4.13 45.1 to 55 lbs.
....
17.15
3.1to5 lbs..
...
4.81 55.1 to 70 lbs.
....
20.03
5.1to10 lbs.
.. .
6.00
····· ··· ...
.......
(Rotes sub1ect to change without notice and may not
opply to Alosko, Hawaii and Puerto Rico)
18
ADD APPLICABLE TAX
TOTAL CASH PRICE
AMOUNT
OF
MONEY ORDERS
OR CHECK ENCLOSED
If
you live
West
of the
Mississippi River moil to:
Seors, Roebuck ond Co.
P.
0 .
Box 27900
San Antonio, TX 78227-0900
UJ
z
:::;
rJl
J:
f-
Cl
z
g
<{
a:
<{
UJ
f-