Order Form

Ordered by:	Shipped to: (if different)
Name	Name
Address	Address

City/State	City/State
Zip	Zip
Phone	Phone

Item No.	Qty	Description	Price Each	Total Price




___ Check/Money Order ___ Credit Card MasterCard or Visa Only ___ Check here if member			Subtotal
			10% Member Discount
			Shipping Charge
			Total Amount

At this time we welcome your orders by phone, mail or fax only.
Currently, we cannot accept on-line credit card orders.

To Place
Credit Card Orders Only:
Call Monday–Friday
9 AM to 5 PM
(203) 438-5485
or
Fax your order
(203)438-9953
24 hours a day
or
Mail your order, using
this handy form, to the following address:

The Museum Shop
Keeler Tavern Museum
132 Main Street,
Box 204
Ridgefield, CT 06877
Att: Order Department

Note: refund/ exchange policy

Card Number:

Expiration Date:

Signature required if using credit card:

Merchandise Total	Up to $20.00	$20.01- $40.00	$40.01- $60.00	$60.01- $100.00	$100.01- $600.00
Shipping & Handling	$9.95	$12.95	$13.95	$14.95	$16.95
For orders outside the U.S., call for shipping information. All orders shipped UPS Ground, unless otherwise specified.

CLICK HERE FOR EASY PRINT ORDER FORM

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