We Wan Chu Cottages
D.B.A.... International Fish & Animal Pins© and FishPins.com© ORDER FORM
P.O. Box 253
Chautauqua , NY 14722-0253       FAX #: 716 - 789 - 3636

Please Print Clearly

Name ______________________________________________________________________________                                     First                                      Middle Initial                                          Last Name Mailing Address ______________________________________________________________________                                ______________________________________________________________________                                     City                                     State or Province                ZIP CODE or POSTAL CODE Name as It Appears on Your Credit Card____________________________________________________ Credit Card # or Check #___________________________ Expiration Date _______________________

Number of Pins       Fish or Animal's Name

Please Let Us Know How You Found Us… Chautauqua Lake Fishing Reports... We Wan Chu's Sign... Referred by a friend... Chautauqua Lake, NY Info. Looking for We Wan Chu                             Cottages Other

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Please Mail or FAX Order With Your Payment To: We Wan Chu Cottages  P.O. Box 253 Chautauqua, NY 14722-0253 FAX:     716-789-3636

I _____________________________ Authorize We Wan Chu Cottages (D.B.A. International Fish & Animal Pins©) 
    Your Signature Here Please…  
Please Print Your Name as it Appears on Your Credit Card (Credit Card orders only) to Charge My Credit Card the "Total Amount of Order", as Listed Above, for the Above Order

"We Thank You All Very Much for Your Order and We Hope To See You'all Back Here Again Soon."...         Sincerely,       We Wan Chu Cottages...

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