The New Church in Fryeburg Maine

To place an order for one of the Fund-Raising Projects, print this form and mail with your check made payable to the Fryeburg New Church to:

Fryeburg New Church
12 Oxford Street
Fryeburg, Maine 04037

Please write Capital Fund on the memo line of your check.

Name:		_______________________________________
Mailing Address:		_______________________________________
City/Town:		_______________________________________
State:		_____________ Zip:__________________________
Daytime Phone:		_______________________________________

Prices listed are inclusive of handling and shipping by US Postal Service. Please indicate quantity.
		Limited Edition Archival Inkjet Print: $35
		The Fryeburg New Church Cookbook (2001): $10
		O Jerusalem (1980): $15

GIFTS: If this purchase is a gift, please indicate address for mailing if different from above:
Name:		_______________________________________
Mailing Address:		_______________________________________
City/Town:		_______________________________________
State:		_____________ Zip:__________________________
Daytime Phone:		_______________________________________

Thank you for your support!

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12 Oxford Street

Fryeburg, Maine 04037

207-935-3413