A GUIDE TO BELLEEK ORNAMENTS ORDER FORM (PRINT OUT AND MAIL)

ENCLOSED IS MY PAYMENT OF: $_______________
$28.98 WITHIN U.S. --- $26.08 FOR BCIS KEYSTONE CHAPTER MEMBERS ONLY - $30.99 TO CANADA --- $32.99 TO MEXICO --- $35.99 TO THE UNITED KINGDOM AND IRELAND --- $37.99 TO NEW ZEALAND AND AUSTRALIA --- $39.99 TO ALL OTHER COUNTRIES ---

PLEASE NOTE: PAYMENT MUST BE MADE IN U.S. DOLLARS

BILLING ADDRESS:     (NAME)_________________________________________________________________________

                                     (STREET ADDRESS)_______________________________________________________________

                                     (STREET ADDRESS)_______________________________________________________________

                                    (CITY/STATE/ZIP)________________________________________________________________

                                    (COUNTRY)_____________________________________________________________________

SHIPPING ADDRESS: _______ CHECK HERE IF SAME AS BILLING ADDRESS

                                      (NAME)_________________________________________________________________________

                                     (STREET ADDRESS)_______________________________________________________________

                                     (STREET ADDRESS)_______________________________________________________________

                                    (CITY/STATE/ZIP)________________________________________________________________

                                    (COUNTRY)_____________________________________________________________________

_______ CHECK HERE IF YOU WOULD LIKE THE BOOK SIGNED

INCLUDE YOUR EMAIL ADDRESS FOR ORDER UPDATES: _________________________________________________________

MAIL TO:         TOM EYRE
                    314 BOX ELDER DRIVE
                    WEST CHESTER, PA  19380-5102