Kitsap Card

The Kitsap Card
PO Box 674
Tracyton, WA 98393

Instructions

  • Please print out this form, then write in your information and mail it to the address at the left.
  • Fields marked with a red asterisk (*) are required.
  • Checks can be made payable to The Kitsap Card
  • For more information call: (360) 377-8277
Credit/Debit card purchases by phone also accepted. Call 360-377-8277.

Please send me * copy(s) of the 2010 Kitsap Card Savings Directory and Membership Card.
1 - 2 Membership Directories for $25.00 each (plus tax) or 3 or more for $20 each (plus tax) PLUS shipping & handling (see chart).
VOLUME DISCOUNTS APPLY TO MAIL/PHONE ORDER SALES ONLY. OFFER NOT AVAILABLE THROUGH STORES OR FUNDRAISERS.


Please add 8.6% WA State sales tax
1 Directory @ $25.00 each + $2.15 tax =
2 Directories @ $25.00 each + $4.30 tax =
3 Directories @ $20.00 each + $5.16 tax =
4 Directories @ $20.00 each + $6.88 tax =
5 Directories @ $20.00 each + $8.60 tax =
6 Directories @ $20.00 each + $10.32 tax =
7 Directories @ $20.00 each + $12.04 tax =
8 Directories @ $20.00 each + $13.76 tax =
9 Directories @ $20.00 each + $15.48 tax =
10 Directories @ $20.00 each + $17.20 tax =
Shipping & Handling  
1 Directory ADD $3.00
2 - 3 Directories ADD $5.00
4 - 5 Directories ADD $6.00
6 - 9 Directories ADD $7.00
10 Directories ADD $8.00
11 or more Directories ADD $11.00

*TOTAL

*Payment Options
  Check Enclosed
Make check payable to: The Kitsap Card
  Please charge my Credit/Debit Card
  Please charge my Credit/Debit Card
Account Number:
Expires:
Validation Code:
 (Please provide last 3 digits on signature block of credit card)
Signature:








*Shipping Address & Phone *Billing Address
(if different from Shipping Address
required for credit card purchases only)
Name:
Address:
City:
State:
Zip:
Phone:
Name:
Address:
City:
State:
Zip: