Mail Order Form


If you would like to purchase any of these items found on T.K. Frank's site, please print out your order form with payment and mail it to 
F. C. Proszowski
,
 P.O. Box 321
 Conshohocken, PA 19428.

Quantity: Description:                                                                             Price:                Total:                   
       
       
       
       
    Add Shipping & Handling:  
    Subtotal:  
    Grand Total:  

 Please PRINT your information below:

Name:___________________________________________________

Address:__________________________________________________

City:_____________________________________________________

State:_____________________________      Zipcode:______________

Phone:_______________________

Please note that due to increasing postage charges, we must increase our postage prices by $.60.  This will make the shipping/handling cost $2.10.   

Thank you for your cooperation.


Created by Nancy Noltkamper.
Copyright © 2003 Nancy's Place for Polkas. All rights reserved.
Revised: August 14, 2006