order by fax

JUNE 6 2024 - FAX NOT AVAILABLE - CALL US

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

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

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