The Women's Law Center of MAryland, Inc. Merchandise Order Form

Please print and complete the following information:

___ YES! I want the WLC Tribute and Memorial Cards!

Each box contains 8 special occassion cards and 2 condolence cards.
$30.00/box of 10 contribution cards, + 5% sales tax = $31.50

Please send me:

__________ (#) boxes


$___________________ Total Amount Enclosed






Name: ________________________________________________________________
Address: ______________________________________________________________
City: _________________________________________________________________
State: ________________________________________________________________
ZIP Code: ____________________________________________________________
Phone Number: _________________________________________________________
Check Enclosed?: ___________
Credit Card Information: (if ordering by credit card)
Card Number: ________________________________________________________
Card Type (Master Card, Visa): __________________________________________
Expiration Date: ______________________________________________________

Signature: ____________________________________________________

Please return form with check payable to:

The Women's Law Center of Maryland, Inc.
305 West Chesapeake Ave., Suite 201
Towson, MD 21204

or fax your credit card order to: 410-321-0462