MEMORABILIA
ORDER FORM
ORDER FOR YOURSELF - OR AS A GIFT!
Print out this form and use to order items.
Ordered by: Name_________________________________________________________________________
Street___________________________________________________________________________________
City, State, Zip____________________________________________________________________________
Daytime phone_____________________________________ email_______________________________
Ship if different to:
Name__________________________________________________________________________________
Street__________________________________________________________________________________
City, State, Zip____________________________________________________________________________
______
Check is enclosed (payable to John More Association) Note: Payment
must be received in order
to
process your order.
Item
# Description Size Quantity Price
Each Postage* Total
Price
______ __________________ _____ ________ _________ ________ ___________
______ __________________ _____ ________ _________
________ ___________
______ __________________ _____ ________ _________ ________ ___________
______ __________________ _____ ________ _________ ________ ___________
______ __________________ _____ ________ _________ ________ ___________
*Please
note: Shipping and handling charges apply
to Continental U.S. orders only:
$4.00
for the first item ordered and
$0.75
for each additional item ordered. TOTAL
ENCLOSED ___________
Today's
Date_______________
Send order to: Irma Leigh, 1188 County Highway
21, Walton, New York 13856
email: isl@frontier.net
