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  • PEYTON SOCIETY STORE ORDER FORM FOR PAYMENT BY CHECK OR MONEY ORDER

PEYTON SOCIETY STORE ORDER FORM FOR PAYMENT BY CHECK OR MONEY ORDER

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If you do not use Paypal, which supports this site, for your internet purchases, we encourage you to do so.  Its simple, convenient, and safer than using checks!  Go to https://www.paypal.com/home and sign up right now.

If you, however, need to make your purchases by check,


Please print this section and mail it with your check/money order made payable to The Peyton Society of Virginia to:

Ms Julia E. Moore
1190 Partridge Lane
Charlottesville, VA 22901  

Please note that this order form should not be used for payment of Membership applications or fees.

Name of first Product ordered _____________________

​# of this Product(s) ordered_____x Price $_______=first Product total            $_____________

Peyton ties (only) second Product

# of this Product(s) ordered (a)_____x Price $_______=second Product total $_____________

ties ordered in Blue #_______, in Wine #_______= total # ties ordered_____                           [must equal total # ties ordered in (a) above]
​
Name of third Product ordered ____________________

# of this Product(s) ordered_____x Price $_______=third Product total           $_____________

Name of fourth Product ordered ___________________

# of this Product(s) ordered_____x Price $_______=fourth Product total         $_____________

Name of fifth Product ordered _____________________

# of this Product(s) ordered_____x Price $_______=fifth Product total             $_____________

        ALL Product totals (first-fifth) ordered above                         SUBTOTAL     $_____________

        Add  $35.00 USD equivalent for International orders                                   $_____________

                   Check/Money Order enclosed                                             TOTAL     $_____________
                   (made payable to The Peyton Society of Virginia)

​
Name and address (city/state/zip) where product is to be sent:
​
_________________________________________________________________

_________________________________________________________________

_________________________________________________________________
​
Purchaser Email address:______________________________________

Purchaser Phone#________________________


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  • The Peyton Society of VA
    • Officers/Executive Committee
    • Constitution and By-Laws
    • Membership/Application
    • Contributions of the Society
    • Financial Statements/Budget (Members only)
  • HERALDRY
  • GENEALOGY
    • Genealogy Files/Links (Members only)
    • DNA Research
  • GALLERIES
    • GALLERIES Lines A-U >
      • Photo Gallery-A Line >
        • Photo Gallery-A Line, St. Andrew Church, Isleham, Cambs., England
        • Photo Gallery-A Line, Isleham Hall, Cambs., England
      • Photo Gallery- B Line
      • Photo Gallery- C Line
      • Photo Gallery- D Line
      • Photo Gallery- E Line
      • Photo Gallery- F Line
      • Photo Gallery- G Line
      • Photo Gallery- H Line
      • Photo Gallery- J Line
      • Photo Gallery- K Line
      • Photo Gallery- L Line
      • Photo Gallery- N Line
      • Photo Gallery- P Line
      • Photo Gallery- Q Line
      • Photo Gallery- R Line
      • Photo Gallery- S Line
      • Photo Gallery- U Line
    • GALLERIES Lines V-FE >
      • Photo Gallery- V Line
      • Photo Gallery- W Line
      • Photo Gallery- X Line
      • Photo Gallery- Y Line
      • Photo Gallery- Z Line
      • Photo Gallery- AE Line
      • Photo Gallery- AF Line
      • Photo Gallery- AG Line
      • Photo Gallery- AJ Line
      • Photo Gallery- BV Line
      • Photo Gallery- CF Line
      • Photo Gallery- CP Line
      • Photo Gallery- CX Line
      • Photo Gallery- DA Line
      • Photo Gallery- DS Line
      • Photo Gallery- FE Line
    • GALLERIES Lines FH-HP >
      • Photo Gallery- FH Line
      • Photo Gallery- FJ Line
      • Photo Gallery- HE Line
      • Photo Gallery- HF Line
      • Photo Gallery-HG Line
      • Photo Gallery-HK Line
      • Photo Gallery-HM Line
      • Photo Gallery-HN Line
      • Photo Gallery-HP Line
    • GALLERY-The Howards Line (Peytons of another name)
    • GALLERY - The Peyton Society of VA Annual Reunions
  • NEWS/LINKS
  • Store
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