East Coast Marine Service Order Form

  1. Print out this screen. (Look for print command under file menu.)
  2. Fill in all relevant information. Use chart below to figure shipping & handling charge.
  3. FAX Toll-Free to 1-888-OLD-MERC (fax only, must be within US) or from outside US Fax to: 610-495-6868
  4. Or MAIL it to:
    East Coast Marine Service
    3363 W. Ridge  Pike
    Pottstown, PA 19464
  5. or CALL us at 610-495-7774.
Name:
 

Shipping Address:

  
Phone Number:    
Email:
 		    
Engine Information:    
Model: HP: Serial Number:
Items Ordered:      
Quantity Part #s (If you have them) Description Price Total
         
         
         
         
         
         
         
         
         
   

Merchandise Total

  
   

Shipping (see chart)

  
Please enclose check or money order payable to "East Coast Marine" OR complete credit card info. below.

Subtotal

  

6% Sales Tax (PA residents only)

  
TOTAL  
CARD:   MC  /  Visa  /  Disc  #  ______   ______   ______   ______ EXP:______
Is credit card billed to above address?  Y / N
If no, please supply c.c. billing address.

Use the chart below to determine standard shipping & handling charges for orders within the Continental U.S.  Shipping prices for Hawaii, Alaska, & International Orders will be quoted individually.  UPS Next Day Air or Second Day Air available at additional charge.

SHIPPING AND HANDLING CHART
for orders within the 48 contiguous US states

Total Price of Merchandise

Standard Delivery

$0.01 - $25.00

$7.95

$25.01 - $50.00

$8.95

$50.01 - $75.00

$10.95

$75.01 - $100.00

$12.95

$100.01 - $210.00

$14.95

$210.01 - $300.00

$16.95

Over $300.00

$19.95

 

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