WALTON’S MOUNTAIN MUSEUM
P.O. BOX 124
SCHUYLER, VA 22969
PHONE: (434) 831-2000
FAX: (434) 831-2002
We accept personal checks,
money orders and credit cards. Prices, quantities, and S&H are subject to change. (Revised 07/07)
Charge my credit card:
___Visa ___Mastercard
Card
# __________________________________
Expiration
date ___________V Code__________
Signature ________________________________
Name
(please print) ________________________________
Address ________________________________________
City ________________________________________
State _____________________ Zip
code____________
Daytime
phone # _________________________
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QTY |
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NAME OF ITEM |
1ST COLOR CHOICE |
2ND COLOR CHOICE |
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FOW 10% DISCOUNT |
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SHIPPING (Click Shipping & Handling button) |
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VA RESIDENTS ADD 5.3% SALES TAX |
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ORDER TOTAL |
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