Please print this order form and fill it out. Please fax your order to Our American Heritage at (610) 695-0980

Fax Available 24 hrs - 7 days

The Our American Heritage Shop  3553 West Chester Pike, #153   Newtown Square, PA 19073

Note: We DO NOT Ship outside the Continental United States

If you have someone that can trans-ship that is in the US we will do that for you

            Your billing information:

First Name

    

Last Name

 

Street Address

  

City

  

 State:

 Zip Code:

Day Time Phone

 

Evening Phone #

 

E-mail Address 

 For FedEx tracking information purpose only We DO NOT SELL YOUR EMAIL ADDRESS

 Please provide your email address. Shipping Confirmation will be sent to you

 Please remember to allow emails from FedEx.com is you use a Spam blocker

Credit Card

Visa   Master  Card   Discover Card Amex

Cardholder Name

 

Card Number

 

Expiration Date

 

CCV Number*

  Required

Your Signature

 

* CCV Number - On the reverse side of Visa, Discover and MasterCard's on the Signature line to the right, a 3 digit number after the last 4 numbers of your account #, Amex 4 Digits on Front Lower right

       Your ordering information: Need More Room ? Please just use a second blank page to write additional items

 ITEM QTY  AMOUNT
   
   
   
   
   
TOTAL  

       If Your shipping address if it is different from your billing address: 

       Sorry NO PO Boxes - Must Ship to Street Addresses ONLY

First Name 
Last Name 
Company 
Street Address 
City  State
Receiptant Phone  Zip
Gift ?    Card ?
Message  

- Click on Bernie

Thank you for your order

Note: We Do Not Send Unsolicited EMAILS or Sell Your Email Address to Anyone

If you have any questions, please feel free to call us at (866) 884-3299 or 610-695-8151

Copyrighted © ® & TM: 2002-2024 - All rights reserved - Our American Heritage Web Shop, Inc.