Conneaut Lake
Institute, Inc.
P.O. Box 111
Conneaut Lake, PA 16316
Print this form, fill it out (print
legibly) and send it, along with your payment to the above address. PLEASE make all checks
payable to CONNEAUT LAKE INSTITUTE, Inc. Allow 4 - 6 weeks for delivery
NAME______________________________________________
PHONE #____________________________
ADDRESS___________________________________________
CITY_____________________ STATE______
ZIP_______________________EMAIL__________________________________
MONEY ORDER
#_________________________________CHECK #_______________________________
Item No. |
Description |
Price |
Quantity |
Total
(Quantity x Price) |
| VID1001 |
Greetings From Conneaut Lake Park Video |
19.95 |
|
|
| DVD1001 |
Greetings From Conneaut Lake Park DVD |
24.95 |
|
|
| PRT1002 |
Print "Outing Coming Home" |
25.00 |
|
|
| CLT1003 |
Conneaut Lake Throw |
60.00 |
|
|
| CLP1004 |
Conneaut Lake Park Throw |
60.00 |
|
|
| CLB1005 |
Conneaut Lake Park by Michael E. Costello |
19.99 |
|
|
| BEA1006 |
Conneaut Lake Bears - Please circle choice
below
Mermaid, Swimmer, Fishing, Rubber Ducky, Snorkeling, Stars & Stripes |
5.00 each |
|
|
| PRT1007 |
Pen & Ink Drawing of Hotel Conneaut by Ron Sturga |
37.74 |
|
|
For shipping on multiple
iterms to the same address, please contact the Institute at
treasurer@conneautlakeinstitute.org.
Shipping Charges
| .01 - 14.99 |
$3.45 |
| 15.00 - 27.99 |
$5.95 |
| 28.00 - 41.99 |
$7.45 |
| 42.00 - 55.99 |
$9.95 |
| 56.00 - 59.99 |
$11.45 |
| 60.00 - 75.99 |
$12.95 |
| 76.00 - 101.99 |
$14.45 |
| 102.00 & Up |
Email Us |
|
| Total (Add
Total Column Above) |
|
| Shipping (Chart
at Left) |
|
| Sub Total |
|
| 6% Sales Tax (PA
Residents Only) |
|
| Grand Total |
|
|
Thank you for supporting the
Conneaut Lake area.
|