Mail Order Form, Window Ledge Collectibles, Cat's Meow Village, Hometowne Collectibles, Shelia'S Collectibles and Amish Collectibles

Window Ledge Collectibles
PO BOX 181
Murrysville, PA 15668-0181
voice 724.327.8509 fax 724.327.6229

Please print: Name:________________________________ Date:_______________
Shipping address:______________________________________________________
City:______________________________________
State/Province:_____________________ Zip/Postal Code/Country:___________________
Your phone number with area code: (_____) _____-____________
email address:_______________________________________

Method of Payment:
_____Check or Money Order - Make check out to "Window Ledge Collectibles"
_____Visacard _____Mastercard

Credit Card Number:__________________________________ expiration date:__________
Please include extra three (3) security numbers on back of card:__________
Signature:_______________________________________

Item #	Description	Qty	Unit $	Total
__________	__________________________________	___	__________	__________
__________	__________________________________	___	__________	__________
__________	__________________________________	___	__________	__________
__________	__________________________________	___	__________	__________
__________	__________________________________	___	__________	__________
__________	__________________________________	___	__________	__________
__________	__________________________________	___	__________	__________
__________	__________________________________	___	__________	__________
__________	__________________________________	___	__________	__________

Sub Total................................................................$__________ 6% Sales Tax (PA residents only)............................$__________ S & H (No charge - order over ).........$__________ Total........................................................................$__________
Place additional items on back or print out additional sheets