East Penn Pyr Rescue, Inc. Store Order Form

(please print out, fill in, and mail to the address below with your check made out to EPPR, Inc.)

Item # Quant. Description Size Color Donation (each) Total

#1

Ornament

$10
$

#2

Rescue Magnet

$6.50
$

#3

Leash Holder-Rescued and Loved

$20.00
$

#4

Leash Holder-Time For A Walk

$20.00
$

Shipping For Magnets and Ornaments-Ships First Class: 1 = $3.50, 2 = $5.50, 3-10 = 7.00 $

Shipping For Leash Holders-Ships Priority Mail: 1-3 = $8.25, $

ORDER TOTAL
$

Ship to:

Name

Street address

City, state & zip

Phone # w/area code

E-mail address

Please mail completed forms to Barb Bowes, 2575 Blakeslee Blvd Dr W, Lehighton, PA 18235.
Be sure to include check or money order made out to EPPR, Inc.


Item #	Quant.	Description	Size	Color	Donation (each)	Total
#1		Ornament			$10	$
#2		Rescue Magnet			$6.50	$
#3		Leash Holder-Rescued and Loved			$20.00	$
#4		Leash Holder-Time For A Walk			$20.00	$
Shipping For Magnets and Ornaments-Ships First Class: 1 = $3.50, 2 = $5.50, 3-10 = 7.00	$
Shipping For Leash Holders-Ships Priority Mail: 1-3 = $8.25,	$
ORDER TOTAL	$
Ship to:
Name
Street address
City, state & zip
Phone # w/area code
E-mail address

Thank you for your order.

East Penn Pyr Rescue, Inc.
	Home Page