Step 1: Print this page

Merchandise
T-shirts Size Quantity Price Ext. Price
HPCHDA Volunteer     $10  
Repair Affair 2004     $5  
Hats Color Quantity Price Ext. Price
  Black   $5 $
  Blue   $5 $
  Khaki   $5 $
Umbrellas     $20 $
Subtotal       $
Shipping & Handling*       $
Total       $

* Shipping and handling is as follows: for every $10 ordered, $1 S/H will be charged. For example, an order of $25 entails a S&H charge of $2.50.  All orders will be shipped USPS.

                                                                                                       
Your Name

                                                                                                       
Street Address or P.O. Box

                                                                                                       
City/ State/Zip Code

                                                                                                       
Daytime Phone

                                                                                                       
Email Address


Step 2: Fill it out

Step 3: Enclose payment (check or money order) and mail to:
HPCHDA, Inc.
P.O. Box 7284
Hazard, KY 41702

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Equal Housing Opportunity

Building Homes,
Building Community
Since 1993

HDA, Inc.
P.O. Box 7284
Hazard, KY 41702
606.436.0497