Baltimore NOW Merchandise Order Form

Complete this form and mail it with your check payment (payable to Baltimore NOW) to: Baltimore NOW, PO Box 253, Timonium, MD 21094.  Please allow up to 4 weeks for delivery.  For quicker delivery, contact the chapter at 410-668-4399 and info@baltimorenow.org to make special arrangements.   You can also pay by credit card through PayPal.

Name: ___________________________________________________

Mailing Address: ___________________________________________

_________________________________________________________

Telephone ________________________________________________

Email ___________________________________________________

Quantity	Item (include color and size)	Price Each	Total Price
		$	$
		$	$
		$	$
		$	$
		$	$
		$	$
		Subtotal	$
		Postage (see below)	$
		Total Enclosed	$

Postage Costs
$1-9 in merchandise, add $2 for postage
$10-19 in merchandise, add $3 for postage
$20-39 in merchandise, add $4 for postage
$40+ in merchandise, add $5 for postage