AmeriCom Philatelic
P.O. Box 587
New Market, MD 21774-0587
(301) 631-5362

Order Form
SHIP TO (Please print):
Name:Phone:
Address:Apt:
City:State: ZipCode:
Credit Card #:Exp Date:

ITEM #
DESCRIPTION
PRICE
QTY
TOTALS
Instructions for ordering:
  1. Print the form with your Browser
  2. List your selections (use back if needed).
  3. Complete the "Ship To" information at top.
  4. Mail order form with check, money order, or
    credit card info to address at top:
Total This Side
Total From Back
MD +5% Sales Tax
Postage & Handling $2.00
Total Amount
Promote our hobby - use commemoratives for postage!