Order Form

There are several way you can place your orders, Phone (717) 432-8170, Mail to 627 Mumper Lane Dillsburg, PA17019, or Email (csm@moweryantiques.com) using this order form. Pricing and shipping & handling cost will be calculated and totals will be sent to you via email or phone.  We only except checks or money orders.  When we receive your payment we will send you order after check clears.

Please see our Privacy Policy.

Shipping Address:

Name:
Street:
City:
State/Prov. Zip/Postal Code:  
Country: Telephone Number:
Fax Number: E-Mail Address:    

Billing Address: (If different than shipping address)

Name:
Street: 
City: State/Prov:       
Zip/Postal Code: Country:           


Products Ordering:

Item #

Description

Quantity

Price

Total
         
         
         
         
         

   Sub Total:

  Shipping & Handling (See Below):

Tax: PA Residents add 6% (PA Sales Tax)

Grand Total:


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