DENGLER FUNERAL HOME RECORDS

ORDER FORM

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ADDRESS ___________________________________________________________

CITY __________________________________STATE ________  ZIP ____________

EMAIL _______________________________________________________________

PHONE ___________________________________________

 

COPIES REQUESTED:

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The charge for the first copy is $5.00.    Two to Five copies is $10.00.  PA residents must include 6% sales tax.  These charges include shipping.

Please send this form along with your check or money order made payble to BCGS to:

BCGS

P O Box 662

Butler, PA  16003