Please print this order form fill in the information, and send it with your payment to:
ERVK, PO Box 255, Hyde Park, New York 12538
Name___________________________________________________________
Address:________________________________________ Apt:_____________
City:____________________________ State:__________ Zip:______________
Daytime phone:(___)____________________ E: Mail:_____________________
Ship to: (if different from above) (UPS will not deliver to a P.O. Box)
Name___________________________________________________________
Address:________________________________________ Apt:_____________
City:____________________________ State:__________ Zip:______________
ERVK does not accept C.O.D. deliveries.
Please make checks payable to: ERVK
If paying by credit card, please fill out order form below:Credit Card No.:_________________________________________Expiration Date:_______________________Enclosed is my charitable contribution in the amount of: $______________
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