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Print out this order form page, fill in the information, and send it (along with your payment) to:

Western New York Wares Inc.   Shipping/Handling Charge:
P.O. Box 733   Orders under $25 - $4.00
Ellicott Station   $25-$49.99 - $5.00
Buffalo, NY 14205   $50-$74.99 - $6.00
    $75-$99.99 - $7.00
    $100 and over - $8.00
Quantity Item Description Unit Price Total Price
       
       
       
       
       
       
Subtotal  
NY residents add 8.75% sales tax  
Shipping / Handling:  
Total  
Ship to: Name:_________________________________________________________

Street Address:________________________________________________________

City:______________________________ State:_______  Zip:________________

Email address:_____________________ Phone Number:______________________