(complete this form first!)

(make check for TOTAL AMOUNT DUE payable to "LAKE HARMONY ESTATES P.O.A.")

there is no shipping charge (you pick up your order)

there is no handling charge (LHEPOA volunteers fill orders)

there is no state sales tax (LHEPOA is non-profit)

Please provide the following information:

My full name is:
My LHE address:
Contact me at:

Comments/Special Instructions: (this can be left blank)

Fill in form, print it, and send it with your check to:

Lake Harmony Estates P.O.A.,
C/O Appletree Management Group,
P.O. Box 866, Moscow, PA 18444

You will be notified when your order is ready for pick-up.

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