Linda Heller Order Form
Check, Money Order, or Credit Card Only. All payments must be made in US dollars.
Personal checks must be drawn upon a US bank. Please allow 5 days for clearance of personal checks.

ITEM NAME

QTY

PRICE

TOTAL
       
       
       
       
       

PLEASE ADD THE FOLLOWING SHIPPING COST TO ORDER:
US
CANADA
INTERNATIONAL - AIR
$5
$7.50
$16.00
SUBTOTAL
  
ADD PA SALES TAX(6%)
  
ADD SHIPPING
  
GRAND TOTAL
(in US dollars only)
  

SHIPPING INFORMATION
NAME  
ADDRESS 1  
ADDRESS 2  
CITY  
STATE / PROVINCE:                                                                            ZIP / COUNTRY CODE:                  COUNTRY:
E-MAIL  

IF PAYING BY CREDIT CARD PLEASE FILL OUT INFORMATION BELOW
NAME ON CARD  
VISA or MASTERCARD               EXP. DATE (mm/yy)
CREDIT CARD #  

MAIL YOUR ORDER TO:
LindaMarie Heller
PO Box 243
Reamstown, PA 17567 USA

Check, Money Order, or Credit Card Only. All payments must be made in US dollars.
Personal checks must be drawn upon a US bank. Please allow 5 days for clearance of personal checks.