mainstreetpiqua.com

Order Form

Thank you for your interest in purchasing Piqua merchandise from mainstreetpiqua.com.

Please fill out the appropriate information and mail this form and a check or money order to:

Mainstreet Piqua, Inc.

PO Box 1703

Piqua, OH 45356

Once your payment has been received and processed your items will be mailed to you.

Be sure to give us a complete (valid) mailing address.  We apologize but we cannot accept credit cards at this time.

Item			QTY		Unit Price		Total
Piqua Playing Cards					$10.00
Fort Piqua Hotel Brass Ornament					$10.00
Piqua Note Cards by Watercolorist Doug Smith					$10.00
Piqua Pride Lamppost Ornament					$10.00
Piqua “Where Vision Becomes Reality” Mug					$14.00
Piqua Postcards					$5.00
Taste of the Arts Apron					$20.00
Linear Part Collectible Patch					$4.00
Harvest Bike Ride Collectible Patch					$4.00
Think Spring Bike Ride Collectible Patch					$4.00
Piqua Bicentennial Cookbook					$5.00
Total Merchandise						$
Shipping & Handling Total Merchandise up to $10.99 -$2.00 Shipping & Handling Total Merchandise above $26.00 to $50.00 - $8.00 Shipping and Handling						$
If merchandise totals more than $50 please email us at info@mainstreetpiqua.com for prices.
Total Check/Money Order						$
Name:				Please Complete this form and mail to: Mainstreet Piqua, Inc. PO Box 1703 326 N. Main Street Piqua, OH 45356
Company:
Address:
City:	State:	Zip:
E-mail:
Phone:

If you have any questions please feel free to contact us at info@mainstreetpiqua.com