"On This Day in History" Order Form

(Print please)

First & Last Name of Recipient: _________________________________________________________

Birthday: __________/___________/___________ Age: _____

Mailing Address: _________________________________________________________________

City: ____________________________________ State: ___________ Zip: _____________

Choice of Wrapper: America ____ Newspaper ____

From Who: (card enclosed) _______________________________________________________

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Your phone # and e-mail address in the event of a question. __________________________________

Method of Payment: Check ______ Money Order ______ Cash (In Person) ______

Billing Address: _________________________________________________________________

City/Town: _________________________________ State: __________ Zip Code: _______

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Please send this order form and $4.95 payment made payable to “Sweet Expressions”:

~ C/O Sweet Expressions ~ 40 Woody Crest Drive ~ Pittsburgh, Pa 15234 ~

Please contact me with any questions at 412-885-8055 ~ e-mail: kelleymeis@aol.com