SOLD TO: Check here if this is a new address or phone number [x]

SHIP TO: If you want this shipped to another person or to a different address, fill in below.

Name __________________________

Name __________________________

Address ________________________

Address ________________________

City _______________________ State ____ Zip _______

City _______________________ State ____ Zip_______

1. No C.O.D.s
2. Please do not send cash or stamps.
3.Credit card acceptance subject to retailer's policy.
4. If more space is needed, attach extra sheets.

POSTAGE & HANDLING

$9.99 or less
$10 to $19.99
$20 to $29.99
$30 to $39.99
$40 to $49.99
$50 or more

..... $4.44
..... $5.74
..... $6.64
..... $7.84
..... $9.34
..... $9.84

CALL FOR SHIPPING CHARGES ON LARGE NATIVITY SETS

[x] Money Order [x]Visa [x] Discover
[x] Mastercard

Card Number ____________________________________________

Expiration Date _______________

Signature________________________________________________
(Signature required to process your order)

Mail To:
Hofmann's Church & Religious Goods
420 E. 26th Street
Erie PA 16504
Fax: 814-454-6418