Account # ____________________________________ Expiration Date: _________
Cardholder signature: x_____________________________________________________

Postage:  
U.S. Orders:
Shipped postpaid if over $20.00 otherwise add $1.00 on  orders under $20.00. If insurance wanted on orders under $100.00, add $1.00.
International orders: 
Shipped postpaid if over $40.00 otherwise add $2.00 on orders under $40.00. If registration wanted add $7.50 to all orders. No insurance available.
All stamps are mint, NH unless otherwise noted. STANLEY LISICA will not make any substitutions. Any item out of stock (o/s)  will result in refund. No credit slips are issued unless prior agreement is made.