Celtic United ORDER FORM - Print this form.                     Close this form and continue shopping.

Item #

Description

Qty

Price_each

Extended
         
         
         
         
         

 Additional items on back of order form 

  

Shipping Preference

  • First Class Mail (with Delivery Confirmation) $5.00
  • Priority Mail (with Delivery Confirmation) $7.00
  • UPS Next Day - $17.00
  • UPS 2nd Day - $12.00
  • Global Priority Mail - $12.00 (required for shipping outside the US)

 Subtotal

  

PA residents add 6% tax

  

Shipping

  
Order_Total  

Order Date____________            Phone number________________________________

Billing Address

First name

Last Name

Company

Address

City

State

Zip

Ship to address (if different than billing)

First Name

Last Name

Company

Address

City

State

Zip
Payment method

  • Visa

  • MasterCard

  • American Express

  • Discover

  • Check (takes 5 more business days)

  • Money Order (faster)

  • Other_______________

Mail to:

Celtic United

Box 163

Dublin, PA 18917

Card Number

Expiration

Email Address ________________________________________________________

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