Mary's Gift House  Product order form

At this time we are unable to take credit card orders. After Submitting this form please print it and send it with your check or money order to:Mary's Gift House, 113 Line Ave., Ellwood City, PA 16117 or call us at 724-758-7078.

You can email this form to marysgifthouse@lycos.com

Please provide the following ordering information:

QTY DESCRIPTION Price Total Price
Total Amount Due
Product Amount 
Shipping: Add 15% Shipping, Total under $25.00 = $2.50
Total Amount  
BILLING/SHIPPING INFORMATION
                Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
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Copyright © 2001 [Mary's gift House]. All rights reserved.
Revised: August 14, 2003