Order Form

Please print this form and mail to:

Fredericktown Community Foundation

PO Box 8

Fredericktown, Ohio 43019

If you are wanting a specific serial number mug, or wish to order the 6 mug set, please contact us here prior to placing your order.

 


Name________________________ Mug Number Requested_____

Address________________________________

_______________________________________

Phone Number__________________________

E-mail Address__________________________

Quantity of Mugs Ordered________________

Please include $2.50 per mug for shipping_________________

Total Amount___________________________

As the purchaser of this mug, you have the first option to buy this same numbered mug next year. Do you want to be notified when the next Fredericktown Limited Edition Mug is available? YES______ NO______

Please make your check or money order payable to: Fredericktown Community Foundation

Thank you for your support!