SAFE HARBOR WATER POWER CORPORATION
MAIL ORDER FORM

ITEM QUANTITY PRICE PER
ITEM*
TOTAL
Commemorative Patch -- X $5.00 --
* Sales Tax Included
PLUS: Shipping & Handling (see below)
--
TOTAL ORDER
--

Shipping &
Handling
1-3 Items = $1.00
4-9 Items = $2.00
10-24 Items = $5.00
25 Items & Over = $10.00

Please enclose check payable to: SAFE HARBOR WATER POWER CORPORATION

Mail order form and check to: FISH LIFT PATCH
SAFE HARBOR WATER POWER CORPORATION
1 POWERHOUSE ROAD
CONESTOGA, PA 17516-9651

Ship order to: Name:
Address:


Phone No.

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