PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO:

A Slice Of Heritage
46 Tone Terrace
Rochester, NY
United States  14617
Phone #: 585-467-1229
Fax #:
Email: janet@asliceofheritage.com

Circle Payment Method:          Check    Money Order            

  Print Name:
  Address:   Email:
  City:    
  State & Zip:    
  Telephone:   Signature:_____________________

Item Name and Description

Quantity

Price

     
     
     
     
     
     
     
     
     
     
     
     
     
 
   

Subtotal:  

   

Shipping and Handling:  

   
NY residents must add 8%% sales tax-   
   

MAKE CHECKS PAYABLE TO: Janet Wagner  

Total :

 


Thank you for shopping at A Slice Of Heritage.