E. M. Foley Gift Shoppe
360 Scott Street   Wilkes-Barre, PA  18702    570 823 6490
or
787 Wyoming Ave.   Kingston, PA 18704  570 714 6383

Order Form
(Use this as a guide for information needed)
Email Orders ( open 24/7)--- evelyn@emfoleygifts.com
Print the order form (you may have to copy and paste)
Fill in information email to above email address or   Call us at 1-570-823-6490
Ask for Evelyn, Debbie or Mike

Customer Name:                                                                                                                                        Date:
Ship to Address:

(must have a street name for UPS delivery, unless UPS approves and delivers to your RR address.)
City:
                                                  State:                                        Zip Code:                                    Country:
Telephone:                                                                        Email:                                                           Fax: 
Payment selection:  Mastercard        Visa          Discover         American Express       or         Money Order
Credit Card #:                                                                                   Expiration Date:                              If you are concerned about security, send 
                                                                                                                                                                           in two different e-mail messages
Name as it appears on Credit Card:
Code on reverse side:
Order:
Item Description Price Quantity Total
- - - - $
- - - - $
- - - - $
- - - - $
- - - - $
- - - - $
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Product Total $



ADD S/H charges $


. Grand Total $
All orders are shipped UPS Ground Trac and must have a street address.  All UPS have package trace I.D.
6% sales tax will be added for PA residents.
Shipping / Handling charges start at $6.95   two types:   UPS  or  US Priority
Based on distance, weight plus our packaging
Please note if you want insurance. .35 per each fraction of $100.00
Initial $100.00 covered by UPS
U.S. Priority at $3.80 up to 2 lbs. plus $2.50 handling charge . If you want "Delivery Confirmation"
via computer ---add .35 cents.  Packages over 2 lbs. will be priced accordingly.