Water Worm Mail Order Form

Please fill-out, print, and mail this form with your Check or Money Order (payable to: Polymath Company).

Shipping to the U.S. is FREE. For orders less than $50.00, shipping is via First Class mail. Orders $50.00 or more receive FREE shipping via US Priority Mail. For Priority shipping of orders to the U.S. of less than $50.00, please select US Priority Mail under "Shipping Method" for $5.50 additional.

Canadian orders need to add $2.50 for Airmail, $10.50 for Priority Mail. All other foreign orders need to add $7.50 for orders of 1-5, $10.50 for 6-10, $13.00 for 11-15. For Global Priority Mail or domestic Express Mail, please call or e-mail. Washington State residents need to add 8.9% Sales Tax.

Please select quantity of Regular (from drop down menu) and/or Extra Long Water Worms, shipping and payment method and add other information:

Regular Water Worms .........................................................................   $ none1 for $5.952 for $10.753 for $15.004 for $18.905 for $22.80 6 for $26.707 for $30.608 for $34.509 for $38.4010 for $42.3012 for $50.00 15 for $61.4020 for $80.0025 for $98.7530 for $117.0050* for $188.00
Please call or e-mail for pricing of more than 50

Extra Long Water Worms ....................................................................   $ none1 for $7.252 for $14.003 for $20.254 for $26.505 for $32.75 6 for $39.007 for $45.258 for $51.509 for $57.7510 for $64.0012 for $76.40 15 for $94.8520 for $125.3525 for $155.6030 for $185.60
Please call or e-mail for pricing of more than 30

Color Preference(s) : (if left blank you will receive a variety)

Your name:
Ship to name, if different:
Address:
City: State: Zip:
Country:
E-mail:  (to confirm when order has been shipped)

Shipping Method:...................................... Please select First Class Mail to US --------------------------------------- free US Priority Mail with tracking info ------------------------- $5.50 15 or more (12 or more Ex Long) to US Priority Mail ---- free Canadian Airmail ----------------------------------------------- $2.50 Canadian Priority --------------------------------------------- $10.50 Other Foreign Orders of 1-5 Airmail --------------------- $7.50 Other Foreign Orders of 6-10 Airmail ------------------ $10.50 Other Foreign Orders of 11-15 Airmail ---------------- $13.00
Sub-Total ...........................................................................................      $
WA Sales Tax 8.9% ............................................................................      $

Total Cost of Order  ..........................................................................      $

Payment Method    CheckMoney Order Payable to: Polymath Company

Now PRINT this Form (using "File, Print"), or Clear to redo:

Mail Form and Payment to:
Polymath Company
5221 SW Jacobsen Rd.
Seattle, WA 98116-4352

Telephone: (206) 935-4844
e-mail: vjpj@juno.com

Ordering questions, comments

Click here to go to Water Worm Home page>