Merchandise Order Form
Print out form on your computer
and fill in your order.
Please send completed order
form with payment (personal check or
U.S. money order made payable
to J. Herb or well-concealed cash) to:
The Upper Crust
P.O. Box ????
West Lawn, PA ?????
All prices INCLUDE
postage!
Please Print Clearly
and Legibly
Quantity Item Number Description/Item Price
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Total ____________
Thanks for your order!
