Order Form

Please print form, fill out and mail with check or money order to:

Marty Simon     

WILDERNESS LEARNING CENTER, 435 Sandy Knoll Rd., Chateaugay, NY 12920

518-497-3179

Name_______________________________________________ 

 

Address________________________ State_____ Zip_________

Phone ______________________________________________

 

 
Product # and Title Quantity

Unit Price

Total

       
                                            
       
       
       
       
     

Sub Total        ___________

                            NY (Only) Sales Tax 7%      ___________

Total         ___________