Order Form

Order Form
[note - all prices subject to change]

Print out this order form, complete, and then send to the following address along with your check or money order made out to: MHEP

Send to:
Mennonite Heritage Center
565 Yoder Rd
Harleysville, PA 19438-1020
Tel: 215-256-3020
Fax: 215-256-3023

Name: _______________________________________________________
Address: _____________________________________________________
City: ________________________________________________________
State: _______________________ Zip Code: ________________________
Telephone: (____) _____________________________________________
Email: _______________________________________________________

Quantity	Item Code	Title	Item Price	Total Price
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Packing and Shipping:

1st item
each additional item

(Additional shipping costs for orders outside United States)

For
$4.00
$1.00

Merchandise Total

MHEP Members deduct 10%

Merchandise Subtotal

Add Shipping Charges

Subtotal

PA Residents add 6% sales tax of Merchandise Subtotal

Total:

__________

Items will be shipped within seven to ten days working days.

Payment Enclosed:
_____ Check or money order to: MHEP
Payment in US Dollars ONLY.

Credit Card Option:
_____ MasterCard
_____ Visa

Credit Card Number: _________________________________
Card Holder: __________________________
Expiration Date: ________________________
please do not e-mail your credit card info to us. We cannot guarantee security.

Signature (required on credit card orders): _______________________________________

Return to Museum Store.
09-25-2007