Name

Street
City State ZIP
E-mail Address
I am currently a MPHS Member.

MPHS Store Order Form
Print this Form, Fill-out and Send to the MPHS.

Item Description
(include issue date if magazine or calendar)
Price per item
Quantity
Total
Contributing Membership $40.00    
Regular Membership $30.00    
Eagle Back Issue      
       
       
       
       
       
       
       
       
       
TOTAL AMOUNT $

Make your check or money order payable to MPHS and send order to:

MPHS
431 Kingwood Circle
Cabot, AR 72023

You may also send ordering inquiries by email.   Address questions to MPHS - Secretary


Return back to: MPHS Store Page