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

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If you must make your purchases or donations by check instead of using Paypal:

Please complete and print the SNAIL MAIL ORDER FORM in this section below, then mail it with your check/money order made payable to The Peyton Society of Virginia to Merchandise Manager:


Ms Julia E. Moore

158 Delaware Trail

Copley, OH 44321  


Please note that this order form should not be used for payment of Membership applications fees or Membership dues. (See those instructions in the Membership section.)


FOR FEDERAL TAX PURPOSES, ALL PURCHASERS OR DONORS MUST INDICATE EITHER THAT THEY ARE A MEMBER OF THE PEYTON SOCIETY OF VIRGINIA OR THAT THEY ARE NOT A MEMBER OF THE PEYTON SOCIETY OF VIRGINIA IN THE FIELD BELOW, DURING THE ORDER OR DONATION PROCESS. PRODUCTS WILL NOT SHIP WITHOUT THIS INFORMATION.


SNAIL MAIL ORDER FORM


​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                 $_____________


Amount of Donation to The Peyton Society of Virginia $__________


Check/Money Order enclosed       GRAND TOTAL  $_____________

(made payable to The Peyton Society of Virginia)

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

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Purchaser/Donor Email address:______________________________________

Purchaser/Donor Phone#________________________

We must have the following information for federal tax purposes:

"X" IF Peyton Society of Virginia Member?______

Membership number, if known_____

"X" IF NOT a Member? ______


Thank you for your Purchases/Donation!

(Please ignore the "sold out" designation below. We intentionally wanted to include our snail mail instructions in the Store Section for your convenience, but prevented the system from producing a possibly confusing electronic zero sale invoice.)

Sold Out