NORWEGIAN AMERICAN FOUNDATION ORDER FORM

Fill out the below form then print and mail with your check made payable to:

Norwegian American Foundation
7301 Fifth Avenue NE
Suite A
Seattle, WA 98115
Qty Item Price Amount
Norway.com Magazine - Collectors Edition $5.00 
DVD - Henrik Ibsen - Father of Modern Drama $19.95 
DVD - Crown Princess Märtha - the American Story $19.95 
Centennial Silver Medal $99.00 
DVD - Aurlandsdalen - A Historic Journey $19.95 
DVD - Stein Eriksen: Ski Legend $19.95 
VHS - Alf Engen $19.95 
SUBTOTAL 
Shipping and handling ($3.50 per copy) 
Sales Tax 8.8% (WA Residents only) 
TOTAL 

 
Method of payment:
 Check (Please make payable to Norwegian American Foundation)
 Credit card (VISA or MasterCard only)
 
VISA
MasterCard
Credit card number: 
    Expiration date: 
Card Holder Name: 
 
Signature:  

 
Ship To:
Name/Title: 
Company: 
Address: 
City:    State:    Zip Code: 
Phone:    Fax: 
Email: 

 
Bill To: (if different from ship to)
Name/Title: 
Company: 
Address: 
City:    State:    Zip Code: 
Phone:    Fax: 
Email: 

 

 
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