ORDER FORM

 

 

 

 

You may purchase these items and more by dropping by the Vicary Mansion between 10 a.m. and 2 p.m. daily.  Or, you may  order by mail by using the form below

 

Please list the items desired by title.  All orders must be prepaid.  Make your check or money order payable to BCHR&LF and mail to:

 

The Shop at the Vicary Mansion

1235 Third Street

Freedom, PA   15042

 

Name    ______________________________________________ Apt. No. _____________

Address __________________________________________________________________

City   _______________________________________ State _______ Zip _____________

 

 

Item:                                                                             Qty:      Cost:

 

__________________________________________________________       ____     $_______

 

__________________________________________________________       ____     $_______

 

__________________________________________________________       ____     $_______

 

__________________________________________________________       ____     $_______

 

__________________________________________________________       ____     $_______

 

__________________________________________________________       ____     $_______

 

__________________________________________________________       ____     $_______

 

For additional items, use the back.

 

PA residents, please add 6% sales tax                                                    $_______

Mailing charges are $3.00 for first volume, $2.00 for each additional volume

Total mailing                                                                              $_______

 

TOTAL  ENCLOSED      $_______

 

If you have questions, please call the Vicary Mansion at 724/775-1848.