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Merchandise
tee shirts
jackets & sweats
casual
children
Online Order Form
Mail-in Order Form
 


 
Please fill out this online order form and submit.  To pay for the merchandise, you will need to call the bookstore with your credit card number, or send a check to:
 
Frances Rawls
PRCC Bookstore
101 Highway 11 North
PO Box 5800
Poplarville, MS 39470
ph.  601-403-1369

 
 

Fill out this form in its entirety.  Be sure to include the order number, size, quantity, and price.  (Note:  A $3 minimum shipping charge and an additional $1 per item charge will be added.  Call for a quote on overnight or special handling.)
Name

My billing address is:

Street   City   State   Zip

My shipping address is (fill in if different)
Note:  For Fedex or UPS, you must use a physical address.
Street   City   State   Zip

How do you intend to pay for your purchase?

I will fax my credit card number
I will send a check via mail

Please fill in the blanks for the items that you wish to purchase.  Leave all other order blanks empty.  Be sure to have the correct Order Number and size.

Order Item Number   Quantity Desired   Size   Price  $

Order Item Number   Quantity Desired   Size   Price  $

Order Item Number   Quantity Desired   Size   Price  $

Order Item Number   Quantity Desired   Size   Price $

Order Item Number   Quantity Desired   Size   Price  $

Order Item Number   Quantity Desired   Size   Price  $

Order Item Number   Quantity Desired   Size   Price  $

Order Item Number   Quantity Desired   Size   Price  $
 

Total amount for all items ordered
$
Shipping ($3 for first item, $1each additional item)
$
Total
$

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© 2008 by Pearl River Community College
Office of Public Relations
All rights reserved.
PRCC
101 Highway 11 North
Poplarville, Mississippi 39470
601-403-1000
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