Warwick County Courthouse Ornament
Proceeds to Benefit NNWHPA

Mail Check Payable to:
NNWHPA
P.O. Box 1812
Newport News, Virginia 23601

Name __________________________________________________________________________

Street _ ___________________________________________ PO Box ______________________

City __________________________________ State _____________________ Zip ____________

Phone __________________________  Email __________________________________________

Quantity _______________  Member Price $15.00 each             Total ________________________

Quantity ______________  Non Member Price $18.00 ea.          Total ________________________

Shipping and Handling                                                                                   _________$3.00___________

                                                                                                                  Total ________________________

If you want gift ornaments mailed separately, please add addresses below and add $3.00 ea for shipping

                  Gift One                                                                            Gift Two

___________________________________          _____________________________________

___________________________________          _____________________________________

___________________________________          _____________________________________

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