and Florence Nightingale Gift Shoppe Online Order Form If you haven't done so already, go back to the store and jot down the information about the items you want to purchase. Then enter it on the form below. To cover shipping and handling costs, $5.00 will be added to each order ($10.00 for posters). If your order requires separate packages, such as a poster and a CD for instance, shipping and handling will be charged for each package. You can pay securely online through PayPal, using any credit card, eCheck or PayPal. (You don't need a PayPal account.) You will receive an e-mail invoice. Quantity Description Item No Size/Style Need more space? Just submit this order and then come back and submit a second order. US addresses only. Name: Address 1: Address 2: City: State: Zip Code: Phone: E-Mail: Required for billing purposes Please inscribe item(s) to: B A C K  T O  S T O R E H  O  M  E