WNYRHS Inc. Store Order Form
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Then, Fill in Required Information
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Item Description |
Quantity |
Unit Price |
Total |
| Merchandise Total | |||
| NY Res. St. Tax 7 | |||
| Total Order |
Ship to : ________________________________________________________________
Street __________________________________________________________________
City _______________________________ State______ Zip ____________ + _______
Payment Type : Check #_____ or M.O. Amount Enclosed ____________
Endorse and Mail to : WNYRHS, Inc. Store
P.O Box 416
Buffalo, New York 14231-0416
Thank you for your Order!
