Vermont Oil Lanterns: Mail Order Form
Procedure: Print This Form From Your Browser. Reduce Print Size percent to fit
           Fill it out, Mail it along with payment
or FAX IT to (801) 457-2304

MAIL to: Vermont Lanterns, 54 Pleasant St, Rutland, VT 05701

Check or Money Order Payable to: VERMONT LANTERNS   Check # ______
[allow 10 days to clear]

Credit Card # ___________ - ___________ - ___________ - ___________

Exp. Date: _____ / _____  Type: VISA __  MASTERCARD __  AMEX __  DISCOVER __

Name on Card: _____________________________________________________

Signature: _____________________________________ Date: ____________

 

Shipping Information

Ship to Name:__________________________________  Company Name:____________

Street Address:__________________________________________________  

City: _________________________________

State or Province:_________________  Country:_______________  ZIP:________

Daytime Phone:__________________________ E-Mail Address:__________________

Enter only the lanterns you are purchasing. Free lanterns are added by us.
If you wish to customize your order, please call in your order or email us

 

Order Information

 

If only ordering wicks or globes call in for reduced shipping rates

 Lanterns Price Quant Extra Wicks Quant  Chimneys   Quant Line Total
13" Hurricane $59 ____ Wicks ($3)  ____ Chimney ($5)   ___ $_______
Dietz 10" Hurricane
Out of Stock
Out Of Stock Out Of Stock $_______
Miner's 10.5" Lamp $59 ____ Wicks ($1)  ____ Chimney ($3)   ___  $_______
Miner's 8.5" Lamp $59 ____ Wicks ($1)  ____ Chimney ($3)   ___  $_______
12" Anchor Lamp $99 ____ Wicks ($2)  ____ Chimney ($14)  ___  $_______
12" Anchor Lamp Antique $99 ____ Wicks ($2)  ____ Chimney ($14)  ___  $_______
10" Anchor Lamp $69 ____ Wicks ($2)  ____ Chimney ($10)   ___  $_______
10" Anchor Lamp Antique $69 ____ Wicks ($2)  ____ Chimney ($10)   ___  $_______
10" Cargo Lamp $69 ____ Wicks ($3)  ____ Chimney ($6)   ___  $_______
10"Cargo Lamp Antique $69 ____ Wicks ($2)  ____ Chimney ($6)   ___  $_______
10" Nelson Lamp $79 ____ Wicks ($3)  ____ Chimney ($6)   ___  $_______
10" Nelson Lamp Antique $79 ____ Wicks ($2)  ____ Chimney ($6)   ___  $_______
17" Table Lamp Call for availability Wicks ($3)  ____ Chimney ($6)   ___  $_______
17" Table Lamp Antique Call for availability Wicks ($3)  ____ Chimney ($6)   ___  $_______
10" Wall & Table $19 ____ Wicks ($2)  ____ Chimney ($3)   ___  $_______
Buy Two Get One Free
8" Patio Lamp $19 ____ Wicks ($2)  ____ Chimney ($3)   ___  $_______
10" Tavern Mug $15 ____ Wicks ($2)  ____ Chimney ($3)   ___  $_______
Buy Two Get One Free
8" Desk Lamp $15 ____ Wicks ($2)  ____ Chimney ($3)   ___  $_______
Buy Two Get One Free
Vermont 9" Table Lamp $13 ____ Wicks ($2)  ____ Chimney ($3)   ___  $_______

Mini 5" Lamp

$6 ____ Wicks ($1)  ____ Chimney ($2)   ___  $_______
Buy Two Get One Free
   
COLUMN  TOTAL       
$_______


Allow 2-5 days for normal delivery by Priority Mail, UPS Ground or FEDEX Ground

 Please Select Shipping*    U. S. A.       [$11 minimum]  12.5%    _________

                           ORDER TOTAL                         $____________

Satisfaction Guaranteed or your money back within 30 days.

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