ORDER FORM

Orders can be placed at any time of year.

Make checks/money orders payable to:

T.H. Althof ...for doors and windows.

Send orders to:
Papa Ted's Place
504 East 9th Avenue
Tarentum, PA 15084-1502

(Please Note: Checks made out to "Papa Ted's Place" cannot be cashed or accepted.)

ITEM No. ....QUAN............................DESCRIPTION.............................UNIT PRICE.....TOTAL
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________
_______    ______     ______________________________       _________    __________


Items Total:_____________

Shipping ______________ ($0.75 flat rate all orders

Total:_______________

Ship To:            ____________________________________ (please print clearly!)

Street Address:____________________________________________________________

City:______________________________________State:____________Zip:___________

e-mail:_____________________________________________________________________