Print this form, complete it,  and mail with your payment to:  WNY Heritage Press, Inc., 495 Pine Ridge Heritage Blvd., Cheektowaga, NY  14225-9856. You may also fax your credit card order to: (716) 893-4013. Call with questions or to arrange to pick up your order, 893-4011.

Where should we mail your items?

Name ________________________________________________________

Street _________________________________________________________

City____________________________   State/Province ____  Zip/Postal Code ____________

How may we contact you if we need to?

What items are you ordering?

Item Description	Quantity	Unit Price	Total Price
Book: Joseph Bennett of Evans		$16.95
Book: The Rainbow City: Pan-American Exposition 1901		$24.00
Book: The Ghost and Me, Joey		$12.95
Book: Buffalo's Backyard Wilderness		$19.95
Book: Queen of the Mist		$9.95
Book: Hidden Treasure		$12.95
Poster: Great Urban Vista, Buffalo 1945		$19.95
Poster: The Buffalo Waterfront, 1936		$19.95
CDROM: City of Buffalo 1850 Map		$19.95

Order Total $  Shipping     ($4 per item) Subtotal NYS Residents 8.75% Sales Tax $ Total Enclosed $

How are you paying for this order?

____  My check is enclosed

____  By credit card
         (circle)     Visa          Mastercard 

         Name as it appears on the card  _______________________________________

         Credit Card Number _______________________________ Expiration Date  (mo)______  (yr) _______

         Signature _____________________________________