FCO Merchandise Order Form Qty Item Description Size Price Total                                                                       Shipping Address: Name: Total price of items   Address: Shipping   City/State/Zip Total due   Shipping Rates Total Price of Order Shipping Total Price of Order Shipping Up to $15.00 $4.95 $50.01 - $75.00 $8.95 $15.01 - $30.00 $5.95 $75.01 - $100.00 $9.95 $30.01 - $40.00 $6.95 $100.01 - $200.00 $10.95 $40.01 - $50.00 $7.95 Over $200.00 $12.95 Please fill out this form and mail it with your check to: Laurie Fenton 7 Perley Ave Ipswitch, MA 01938 Please make all checks payable to Foundation for Chinese Orphanages. The Foundation for Chinese Orphanages is a 501(c)3 organization recognized by the IRS. You will receive a note telling you how much of your purchase is tax deductible. For more information, call Laurie Fenton at (978) 356-5186 and leave a detailed message. No phone orders please. Samples and limited quantities will be available at most FCC events.