Name

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

MPHS Store Order Form
Fill it out and Send it 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 $

PLEASE ALLOW 4 TO 6 WEEKS FOR PROCESSING

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