WNYRHS Inc. Slide Set Order Form
Print this Form
Then, Fill in Required Information
|
Item Description |
Quantity |
Unit Price |
Total |
| I1 Slide Set (5) | $10.00 | ||
| NY Res. St. Tax .825% | |||
| Total Order |
Ship to : ________________________________________________________________
Street __________________________________________________________________
City _______________________________ State______ Zip ____________ + _______
Payment Type : Check #__________ or M.O. Amount Enclosed ____________
VISA or Master Card: Card No. ________ ________ ________ ________
Signature ________________________________________ Amount Enclosed ____________
Payment to and Mail to : WNYRHS, Inc. Store
P.O Box 416
Buffalo, New York 14231-0416
Thank you for your Order!
